Individual
SAMANTHA MASTANDUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
645 MADISON AVE FL 34, NEW YORK, NY 10022-1010
(888) 636-7840
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MB11284200
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
302377
NY
Other
Enumeration date
04/19/2016
Last updated
12/02/2021
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