Individual
DR. MARIA G MASTROSIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 EAST AVE, SUITE 107-2, ROCHESTER, NY 14610-1665
(585) 234-4081
Mailing address
249 HIGHLAND PARKWAY, ROCHESTER, NY 14620
(585) 461-5091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
196380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01728409
—
NY
01
—
J400000981
MEDICARE PTAN
NY
01
—
P010196380
EXCELLUS PLANS
—
Enumeration date
05/20/2006
Last updated
12/29/2008
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