Individual
ALEKSANDRA MASTUROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16416 76TH RD, FRESH MEADOWS, NY 11366
(646) 267-4505
Mailing address
16416 76TH RD, FRESH MEADOWS, NY 11366-1255
(646) 267-4505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NY
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/10/2015
Last updated
05/29/2018
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