Individual
DR. DANIEL MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 EAST MAIN STREET, SMITHTOWN, NY 11787
(631) 366-5252
Mailing address
263 E MAIN ST, SMITHTOWN, NY 11787-2807
(631) 366-5252
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
140045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603338
—
NY
01
—
0748519
AETNA
NY
01
—
72F301
EMPIRE BC/BS
—
Enumeration date
06/14/2006
Last updated
10/29/2007
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