Individual provider · Type 1 NPI

Jacqueline Mayo, MD

Specialist · New York, NY

NPI number 1407819923 Active

Practice location

535 E 70th St
New York, NY 10021-4872

Fax (212) 774-7875

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2116511 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407819923

Jacqueline Mayo, MD's National Provider Identifier is 1407819923, issued on Apr 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.