Individual
MS. RUTH MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 BOONE STREET, STATEN ISLAND, NY 10314
(718) 370-1321
Mailing address
24 BOONE ST, STATEN ISLAND, NY 10314-5004
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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