Organization
MAYO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MAYO M.D. (CEO)
(607) 662-0103
Entity
Organization
Contact information
Practice address
141 GROTON AVE, CORTLAND, NY 13045-1907
(607) 662-0103
(607) 662-0601
Mailing address
141 GROTON AVE, CORTLAND, NY 13045-1907
(607) 662-0103
(607) 662-0601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03395984
—
NY
Enumeration date
10/21/2011
Last updated
08/14/2012
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