| Doctor Name: | MS. ELIZABETH MACMAHON |
| NPI Number: | 1124223714 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 073594-1 |
| Business Practice Address: | 6002 Queens Blvd Woodside, NY - 113774973 |
| Business Phone Number: | 7189432800 |
| Business Fax Number: | |
| Mailing Address: | 17346 Fairchild Ave, FLUSHING |
| State: | NY |
| Postal Code: | 113583816 |
| Phone Number: | 7183579409 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 073594-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |