Provider Demographics
NPI:1013159342
Name:BAYNO, MARY S (DO)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:S
Last Name:BAYNO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:119 WEST 57TH STREET
Mailing Address - Street 2:SUITE 1520
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-765-6474
Mailing Address - Fax:212-245-3536
Practice Address - Street 1:119 WEST 57TH STREET
Practice Address - Street 2:SUITE 1520
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-765-6474
Practice Address - Fax:212-245-3536
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY176097207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology