Dr. Domenico Carmine Mastandrea
Emergency Physician
45 Reade Pl
Poughkeepsie
, New York 12601-3947
Dr. Domenico Carmine Mastandrea
Emergency Physician
45 Reade Pl
Poughkeepsie
, New York 12601-3947
(845) 238-6260
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Domenico Carmine Mastandrea
- 47 Oakbrook Ln
- Lagrangeville, NY
- Zip : 12540-6236
- Phone : (845) 238-6260
Second Address
- Dr. Domenico Carmine Mastandrea
- 45 Reade Pl
- Poughkeepsie, NY
- Zip : 12601-3947
- Phone : (845) 431-5680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 264301 | NY |
National Provider Identifier
| NPI | 1013236389 |
|---|---|
| Provider Name | Dr. Domenico Carmine Mastandrea |
| First Address | Lagrangeville, NY 12540-6236 |
| Second Address | Poughkeepsie, NY 12601-3947 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2010 |
| Last Update Date | 20/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03612993 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.