Provider Demographics
NPI:1952962342
Name:SCOTT F. MCMAHON, M.D., PLLC
Entity Type:Organization
Organization Name:SCOTT F. MCMAHON, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-280-3002
Mailing Address - Street 1:400 CLIFTON CORPORATE PKWY STE 499
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3872
Mailing Address - Country:US
Mailing Address - Phone:518-280-3002
Mailing Address - Fax:518-952-4080
Practice Address - Street 1:400 CLIFTON CORPORATE PKWY STE 499
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3872
Practice Address - Country:US
Practice Address - Phone:518-280-3002
Practice Address - Fax:518-952-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty