Mastrangelo, Amy L

Mastrangelo, Amy L is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Mastrangelo, Amy L can be contacted via phone (718) 470-7675.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 224790 New York

Profile Details

NPI number 1184694937
LBN Legal business name Mastrangelo, Amy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 11th, 2017 - about 8 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 1184694937 NPPES
New York MEDICAID 02366627

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