Individual
MR. ANTHONY MASTRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2400
(315) 638-6018
Mailing address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2400
(315) 638-6018
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
692395
NY
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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