Provider Demographics
NPI:1326509688
Name:MAYO, FRANK III (ATC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:MAYO
Suffix:III
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 564
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:NY
Mailing Address - Zip Code:10933-0564
Mailing Address - Country:US
Mailing Address - Phone:201-951-0057
Mailing Address - Fax:
Practice Address - Street 1:50 GERTRUDE DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-8407
Practice Address - Country:US
Practice Address - Phone:201-951-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer