Individual
MR. MARK MASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 CULVER RD, ROCHESTER, NY 14609-4241
(585) 288-7555
(585) 288-8998
Mailing address
1524 CULVER RD, ROCHESTER, NY 14609-4241
(585) 288-7555
(585) 288-8998
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
C6690-1
NY
156FX1800X
Optician
Primary
C6690-1
NY
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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