Provider Demographics
NPI:1164748984
Name:MAURER, CARINE (MD/PHD)
Entity Type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:MAURER
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SHEN CT
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-4054
Mailing Address - Country:US
Mailing Address - Phone:917-733-0590
Mailing Address - Fax:
Practice Address - Street 1:181 BELLE MEADE ROAD
Practice Address - Street 2:
Practice Address - City:SETAUKET- EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-1173
Practice Address - Country:US
Practice Address - Phone:631-444-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2084N0400X2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology