Mastrosimone, Maria G

Mastrosimone, Maria G is an sole proprietor health care provider with primary practice located at 1441 East Ave Suite 107-2, Rochester NY 14610-1665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mastrosimone, Maria G can be contacted via phone (585) 234-4081.

Contact Information

Primary practice address
1441 East Ave Suite 107-2 Rochester NY 14610-1665
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 196380 New York

Profile Details

NPI number 1649224817
LBN Legal business name Mastrosimone, Maria G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Dec 29th, 2008 - about 18 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 1649224817 NPPES
New York Other J400000981 MEDICARE PTAN
New York Other P010196380 MEDICARE PTAN
New York MEDICAID 01728409 MEDICARE PTAN

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