Individual
DR. ANDREW JOHN MASTANDUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7874
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
283695
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2013
Last updated
07/31/2018
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