Mastrogiannis, Dimitrios S

Mastrogiannis, Dimitrios S is an individual health care provider with primary practice located at 90 Presidential Plaza 3Rd Fl, Syracuse NY 13202. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Mastrogiannis, Dimitrios S can be contacted via phone (315) 464-4458.

Contact Information

Primary practice address
90 Presidential Plaza 3Rd Fl Syracuse NY 13202
Phone: (315) 464-4458
Fax: (315) 464-6388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 181866 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 181866 New York
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 181866 New York

Profile Details

NPI number 1083644132
LBN Legal business name Mastrogiannis, Dimitrios S
Credentials MD,PHD,FACOG
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 14th, 2019 - about 7 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 1083644132 NPPES
Illinois MEDICAID 036.136742
Illinois MEDICAID 01464295

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