Mayo, David

Mayo, David is an individual health care provider with primary practice located at 141 Groton Ave , Cortland NY 13045-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mayo, David can be contacted via phone (607) 662-0103.

Contact Information

Primary practice address
141 Groton Ave Cortland NY 13045-1907
Fax: (607) 662-0601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 253350 New York

Profile Details

NPI number 1598991572
LBN Legal business name Mayo, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Aug 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598991572 NPPES
New York MEDICAID 03134907

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