Mayer, Michele Marie

Mayer, Michele Marie is an individual health care provider with primary practice located at 5225 Nesconset Hwy Ste 70 , Port Jefferson Station NY 11776-2061. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Mayer, Michele Marie can be contacted via phone (631) 331-8777.

Contact Information

Primary practice address
5225 Nesconset Hwy Ste 70 Port Jefferson Station NY 11776-2061
Phone: (631) 331-8777
Fax: (631) 474-9169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 001110 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001110 New York

Profile Details

NPI number 1467525444
LBN Legal business name Mayer, Michele Marie
Credentials N.P., C.N.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467525444 NPPES
New York Other 001110 LICENSE

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