Individual
REBECCA MAMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 VALENTINE LN, APT 8D, YONKERS, NY 10705-3445
(218) 829-2020
Mailing address
145 VALENTINE LN, APT 8D, YONKERS, NY 10705-3445
(218) 829-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
244649
NY
207W00000X
Ophthalmology Physician
A77573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300215458
PTAN
NY
Enumeration date
06/21/2007
Last updated
11/23/2020
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