MEDICARE: EILEEN MAYRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	334166	NY

General Provider Information

NPI Number	:	1912589219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN MAYRO MD

Provider Business Mailing Address
First Line	:	262 W 53RD ST FL 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5807
Country	:	US
Telephone Number	:	212-641-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 W 53RD ST FL 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5807
Country	:	US
Telephone Number	:	212-641-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	05/14/2025

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Directions to “ EILEEN MAYRO MD” Practice Location

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