Individual
DR. JOHN MASTRANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 262-2280
Mailing address
16 HENKES LN, LATHAM, NY 12110-5014
(518) 331-5771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
265220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03466382
—
NY
Enumeration date
05/31/2007
Last updated
08/23/2018
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