Provider Demographics
NPI:1043386915
Name:MAYER, AMIR (MD)
Entity Type:Individual
Prefix:MR
First Name:AMIR
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Last Name:MAYER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1729 EAST 12 STREET
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-998-7400
Mailing Address - Fax:718-998-7594
Practice Address - Street 1:1729 EAST 12 STREET
Practice Address - Street 2:FLOOR 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1088
Practice Address - Country:US
Practice Address - Phone:718-998-7400
Practice Address - Fax:718-998-7594
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2014-03-14
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Provider Licenses
StateLicense IDTaxonomies
NY185985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01613414Medicaid
NY01613414Medicaid
F20094Medicare UPIN