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FRANCIS C MAYLE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2044 ROUTE 32, SUITE 4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Mailing address
2044 ROUTE 32, SUITE 4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158508
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000003010
GHI HMO
NY
01
000470900001
BLUE SHIELD OF NORTHEASTN
NY
05
00852979
NY
01
087050
MVP
NY
01
10031757
CDPHP
NY
01
141805299001
TRICARE
NY
01
25562
LOCAL 825
NY
01
575120
AETNA-USHC
NY
01
5902624
GHI
NY
01
P494012
OXFORD
NY
Enumeration date
12/01/2005
Last updated
10/10/2007
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