Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2621521 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | OS017709 | PA |
NPI | 1013213859 |
---|---|
Provider Name | Lindsay Jane Mastrine |
First Address | Johnstown, PA 15905-1628 |
Second Address | Windber, PA 15963-1331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 08/01/2016 |