Mastakouris, Thomas

Mastakouris, Thomas is an individual health care provider with primary practice located at 3010 38Th St , Astoria NY 11103-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mastakouris, Thomas can be contacted via phone (718) 545-2020.

Contact Information

Primary practice address
3010 38Th St Astoria NY 11103-3804
Phone: (718) 545-2020
Fax: (718) 932-9131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 187418 New York

Profile Details

NPI number 1144277443
LBN Legal business name Mastakouris, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144277443 NPPES
New York MEDICAID 01415952

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