Individual
MR. ANDREW MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
16131 99TH ST, HOWARD BEACH, NY 11414-3820
(718) 551-2187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01054
RI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/16/2018
Last updated
07/05/2018
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