Organization
ANTHONY J MSTELLONE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J MASTELLONE MD (PRESIDENT)
(718) 558-2072
Entity
Organization
Contact information
Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2072
Mailing address
12 HILLTOP LN, OYSTER BAY, NY 11771-3912
(718) 558-2072
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
119240
NY
Other
Enumeration date
02/28/2006
Last updated
08/04/2008
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