Masterman, Stephanie Ann

Masterman, Stephanie Ann is an sole proprietor health care provider with primary practice located at 104 Kasson Rd Ste C , Camillus NY 13031-2266. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Masterman, Stephanie Ann can be contacted via phone (315) 487-0327.

Contact Information

Primary practice address
104 Kasson Rd Ste C Camillus NY 13031-2266
Fax: (315) 487-4425
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 007627-1 New York

Profile Details

NPI number 1558450353
LBN Legal business name Masterman, Stephanie Ann
Credentials OPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 28th, 2020 - about 5 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 1558450353 NPPES
New York MEDICAID 02186423

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