Individual
ANGELA MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16131 99TH ST, HOWARD BEACH, NY 11414-3820
(917) 340-5930
Mailing address
16131 99TH ST, HOWARD BEACH, NY 11414-3820
(917) 340-5930
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003064-1
NY
Other
Enumeration date
12/08/2009
Last updated
02/11/2022
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