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Organization

DANIEL L MAYER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL L MAYER MD (PRESIDENT)
(631) 366-5252
Entity
Organization

Contact information

Practice address
263 EAST MAIN STREET, SMITHTOWN, NY 11787
(631) 366-5252
(631) 366-4371
Mailing address
263 EAST MAIN STREET, SMITHTOWN, NY 11787
(631) 366-5252
(631) 366-4371

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1400451
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00603338
NY
01
0748519
AETNA
NY
01
140045B10
HEALTHFIRST
NY
01
2238
VYTRA HEALTH PLANS
NY
01
26823P
HIP
NY
01
6C5498
HEALTHNET
NY
01
72F301
EMPIRE BC BS
NY
01
CP039
OXFORD HEALTH PLANS
NY
Enumeration date
08/13/2006
Last updated
10/29/2007
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