Individual
DR. ANTHONY JAMES MASTROIANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 3RD ST, NIAGARA FALLS, NY 14301-1507
(716) 284-0311
(716) 284-2150
Mailing address
515 3RD ST, NIAGARA FALLS, NY 14301-1507
(716) 284-0311
(716) 284-2150
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
031582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612515
—
NY
Enumeration date
04/14/2006
Last updated
05/31/2011
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