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Individual

DR. JOHN J MASTRANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1915-25 CENTRAL PARK AVE, YONKERS, NY 10710
(914) 961-0201
(914) 961-6365
Mailing address
1915-25 CENTRAL PARK AVE, YONKERS, NY 10710
(914) 961-0201
(914) 961-6365

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
101929
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003480
CONNECTICARE
NY
01
0075076
GHI
NY
01
0530998
AETNA/USHC
NY
01
080731000082
FIDELIS
NY
01
101929
HIP
NY
01
101929-A14
HEALTHFIRST
01
101929-B14
HEALTHFIRST
NY
01
13269499404
1199 - BRONX
NY
01
13269499407
1199 - YONKERS
NY
01
160030905
MEDICARE RAILROAD
01
21147
MONTEFIORE CMO
NY
01
4096891
AETNA
NY
01
4359A
MAGNACARE - YONKERS
NY
01
4359B
MAGNACARE - BRONX
NY
01
C77946
AMERIAHEALTH ADMINISTRATORS
NY
01
EMPIRE HEALTHCHOICE
JM09660310
NY
Enumeration date
02/15/2006
Last updated
01/05/2009
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