Provider Demographics
NPI:1073773438
Name:MAHLER, MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:MAHLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:MSKCC DEPARTMENT OF PEDIATRICS C/O WNEDY WERNER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-5966
Mailing Address - Fax:212-717-3447
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:MSKCC DEPARTMENT OF PEDIATRICS C/O WNEDY WERNER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5966
Practice Address - Fax:212-717-3447
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
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Provider Licenses
StateLicense IDTaxonomies
NY2427282080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology