Individual
DR. TODD MICHAEL MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2542
(631) 924-7997
Mailing address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2542
(631) 924-7997
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
048570
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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