Mastrandrea, Lucy Diane

Mastrandrea, Lucy Diane is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Mastrandrea, Lucy Diane can be contacted via phone (716) 323-0170.

Contact Information

Primary practice address
1001 Main St Fl 4 Buffalo NY 14203-1009
Fax: (716) 323-0297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 223316 New York

Profile Details

NPI number 1760565105
LBN Legal business name Mastrandrea, Lucy Diane
Credentials MD, PH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jan 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760565105 NPPES
New York MEDICAID 02601614
New York Other 4512725
New York MEDICAID 1019649620001
New York Other 041208000095
New York Other 00026963501

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