Provider Demographics
NPI:1316247687
Name:MAYLOR, DAPHNEY HORTENSE (MD)
Entity type:Individual
Prefix:DR
First Name:DAPHNEY
Middle Name:HORTENSE
Last Name:MAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6715
Mailing Address - Country:US
Mailing Address - Phone:718-282-2900
Mailing Address - Fax:718-287-4378
Practice Address - Street 1:871 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6715
Practice Address - Country:US
Practice Address - Phone:718-282-2900
Practice Address - Fax:718-287-4378
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00697787Medicaid