# MAYO MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083999015
- **Authorized official:** DR. DAVID MAYO M.D. (CEO)
- **Authorized official phone:** (607) 662-0103

## Contact information

- **Practice address:** 141 GROTON AVE, CORTLAND, NY 13045-1907
- **Practice address phone:** (607) 662-0103
- **Practice address fax:** (607) 662-0601
- **Mailing address:** 141 GROTON AVE, CORTLAND, NY 13045-1907
- **Mailing address phone:** (607) 662-0103
- **Mailing address fax:** (607) 662-0601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NY | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 08/14/2012