Mayo, Edward Ralph

Mayo, Edward Ralph is an individual health care provider with primary practice located at 350 National Blvd Suite 2A, Long Beach NY 11561. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mayo, Edward Ralph can be contacted via phone (516) 889-0464.

Contact Information

Primary practice address
350 National Blvd Suite 2A Long Beach NY 11561
Phone: (516) 889-0464
Fax: (516) 889-0463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041803 New York

Profile Details

NPI number 1093929846
LBN Legal business name Mayo, Edward Ralph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1093929846 NPPES
New York MEDICAID 01128596

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