Individual
DR. MARK WILLIAM MAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 CONHOCTON ST STE 101, CORNING, NY 14830-2959
(607) 438-1200
(607) 438-1221
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172789-1
NY
207Q00000X
Family Medicine Physician
MD039478E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014535010002
—
PA
05
—
01200595
—
NY
Enumeration date
01/31/2006
Last updated
11/25/2020
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