| Doctor Name: | MS. AMY MAYER |
| NPI Number: | 1548314743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F401298-1 |
| Business Practice Address: | 4705 Limberlost Ln Manlius, NY - 131041405 |
| Business Phone Number: | 3154267600 |
| Business Fax Number: | |
| Mailing Address: | 620 Madison St, SYRACUSE |
| State: | NY |
| Postal Code: | 132102319 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F401298-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |