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Individual

ROBERT MAYO ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
942 FIFTH AVENUE, GROUND FLOOR, NEW YORK, NY 10021
(212) 321-0071
(212) 321-0074
Mailing address
942 FIFTH AVENUE, GROUND FLOOR, NEW YORK, NY 10021
(212) 321-0071
(212) 321-0074

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
114345
NY

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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