Individual
DR. JOHN D MASTROBATTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 E 62ND ST, NEW YORK, NY 10065-7605
(212) 688-9365
(612) 688-9372
Mailing address
169 E 62ND ST, NEW YORK, NY 10065-7605
(212) 688-9365
(612) 688-9372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
178843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010178843NY00
ANTHEM HEALTH
—
05
—
01500861
—
NY
01
—
0400339
GHS
—
01
—
09732P
HIP
—
01
—
1058199
UNITED HEALTHCARE
—
01
—
160940
ELDERPLAN
—
01
—
178843A26
HEALTHFIRST
—
01
—
462099
AETNA US HEALTHCARE
—
01
—
57K011
EMPIRE BLUE CROSS BLUE SH
—
01
—
80314
UNICARE
—
01
—
M58843
ATLANTIS
—
01
—
P471036
OXFORD
—
Enumeration date
01/03/2007
Last updated
01/26/2013
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