Individual
DR. MICHAEL ANTHONY MASTRODONATO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1807 PENFIELD RD, PENFIELD, NY 14526-2126
(585) 388-6086
Mailing address
1807 PENFIELD RD, PENFIELD, NY 14526-2126
(585) 388-6086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013748
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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