Individual
MARY CLARE MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3444 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 920-8542
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 860-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125064674
IL
207RI0200X
Infectious Disease Physician
036142343
IL
207RI0200X
Infectious Disease Physician
Primary
333245
NY
Other
Enumeration date
06/09/2014
Last updated
12/10/2024
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