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MARK WILLIAM LAMASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
728 KING ST., PORT CHESTER, NY 10573
(914) 939-8858
(914) 939-3814
Mailing address
728 KING ST, PORT CHESTER, NY 10573
(914) 939-8858
(914) 939-3814

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
185 362 1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
185 362 1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007752423
AETNA US HEALTHCARE PPO
NY
01
3021392
AETNA US HEALTHCARE HMO
NY
01
5398370
GHI
NY
01
8K818
EMPIRE BC BS
NY
01
P2742862
OXFORD
NY
Enumeration date
10/26/2005
Last updated
09/26/2014
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