All original Meyer NEW YORK USA(on shank) alto saxophone mouthpiece... 5M in diamond on the table(faint but is readable)... Tip and rails are fine and original and comes in the original box... Phil Woods played a 5M NYUSA!The item "MEYER NEW YORK USA 5M ALTO SAXOPHONE MOUTHPIECE" is in sale since Monday, March 05, 2018. This item is in the category "Musical Instruments & Gear\Wind & Woodwind\Band & Orchestral\Saxophones". The seller is "selmerfudd" and is located in Bethlehem, Pennsylvania. This item can be shipped worldwide.