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Individual

ALISON ROBIN MASTANDREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
241 BUCK BROOK RD, ROSCOE, NY 12776-5612
(845) 482-5431
(845) 482-9054
Mailing address
241 BUCK BROOK RD, ROSCOE, NY 12776-5612
(845) 482-5431
(845) 482-9054

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
507691-1
NY
163WM0705X
Medical-Surgical Registered Nurse
Primary
507691-1
NY
163WM0705X
Medical-Surgical Registered Nurse
RN-578757
PA

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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