Masten, Thomas D

Masten, Thomas D is an individual health care provider with primary practice located at 6620 Fly Rd , East Syracuse NY 13057-9717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Masten, Thomas D can be contacted via phone (315) 464-9390.

Contact Information

Primary practice address
6620 Fly Rd East Syracuse NY 13057-9717
Phone: (315) 464-9390
Fax: (315) 464-6482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 154187 New York

Profile Details

NPI number 1194745299
LBN Legal business name Masten, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 21st, 2010 - about 14 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 1194745299 NPPES
New York MEDICAID 00920549

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