Individual
CAROL ARLETT MAYOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD, REGO PARK, NY 11374-3335
(718) 830-9274
Mailing address
895 EISENHOWER DR, WEST HEMPSTEAD, NY 11552-3617
(718) 404-7314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1271520
NY
Other
Enumeration date
06/10/2012
Last updated
01/08/2013
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