Individual
MR. CHARLTON MARVIN MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8012 3RD AVE, BROOKLYN, NY 11209-3802
(718) 491-5454
Mailing address
8716 3RD AVENUE APARTMENT 5, BROOKLYN, NY 11209
(941) 276-2173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008894
NY
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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