National Provider Identifier

Mark William Mauer, M.D.

Mark William Mauer, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Corning, NY and a listed phone number of (607) 438-1200.

NPI 1720059298Corning, NYFamily Medicine Physician

Profile Overview

NPI
1720059298
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
January 31, 2006
Last Updated
November 25, 2020

Practice Location

  • 123 Conhocton St Ste 101
  • Corning, NY 14830-2959

Phone: (607) 438-1200

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1720059298
Entity Type
Individual
Last Name
Mauer
First Name
Mark
Middle Name
William
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
123 Conhocton St Ste 101
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2959
Practice Country
US
Practice Phone
(607) 438-1200
Practice Fax
(607) 438-1221
Enumeration Date
January 31, 2006
Last Updated
November 25, 2020
Sex
Male
Sole Proprietor
No
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
Other Identifiers
01200595 (NY), 0014535010002 (PA)