Individual
MR. GREGORY THOMAS MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
62 PINETREE LN, LEVITTOWN, NY 11756-1523
(516) 735-0730
Mailing address
62 PINETREE LN, LEVITTOWN, NY 11756-1523
(516) 735-0730
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010860
NY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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