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
Phone: (716) 323-0170
Fax: (716) 323-0297
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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