Individual
CLARA MAYORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 N VILLAGE AVE, SUITE 1D, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-4094
Mailing address
176 N VILLAGE AVE, SUITE 1D, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-4094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213186
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1933706
—
NY
Enumeration date
03/23/2006
Last updated
02/24/2021
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