Organization
CARMINE R. MASTROLIA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE R MASTROLIA MD (PHYSICIAN)
(315) 363-9214
Entity
Organization
Contact information
Practice address
240 BROAD ST, ONEIDA, NY 13421-2148
(315) 363-9214
(315) 361-4968
Mailing address
240 BROAD ST, ONEIDA, NY 13421-2148
(315) 363-9214
(315) 361-4968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03104698
—
NY
Enumeration date
12/06/2006
Last updated
02/09/2013
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