Basic Information
| Provider Information | |||||||||
| NPI: | 1487786489 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAEURER | ||||||||
| FirstName: | ALITHIA | ||||||||
| MiddleName: | EVE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RPA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6225 ROUTE 23A | ||||||||
| Address2: | PO BOX 60 | ||||||||
| City: | TANNERSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12485 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185896843 | ||||||||
| FaxNumber: | 5185896844 | ||||||||
| Practice Location | |||||||||
| Address1: | 6225 ROUTE 23A | ||||||||
| Address2: | |||||||||
| City: | TANNERSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12485 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185896843 | ||||||||
| FaxNumber: | 5185896844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 01/24/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 007985 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.