Provider Demographics
NPI:1518959212
Name:MAUER, ADAM W (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:W
Last Name:MAUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1165 NORTHERN BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3048
Mailing Address - Country:US
Mailing Address - Phone:516-627-0303
Mailing Address - Fax:516-627-1399
Practice Address - Street 1:1165 NORTHERN BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3048
Practice Address - Country:US
Practice Address - Phone:516-627-0303
Practice Address - Fax:516-627-1399
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2023-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY227736208600000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1348J1Medicare PIN