Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maureen Thayer

Individual provider Specialist · NPI 1306414776

Maureen Thayer is a Specialist in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4189 Saint John Dr
Syracuse, NY 13215-1248
Phone: (315) 751-6004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1306414776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address4189 Saint John Dr, Syracuse, NY 13215-1248

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