Mastronardi, Dante D

Mastronardi, Dante D is an individual health care provider with primary practice located at 229-231 State St Fl 4 , Binghamton NY 13901-2756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mastronardi, Dante D can be contacted via phone (607) 778-1126.

Contact Information

Primary practice address
229-231 State St Fl 4 Binghamton NY 13901-2756
Phone: (607) 778-1126
Fax: (607) 778-1164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X F320026 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401065 New York

Profile Details

NPI number 1649212697
LBN Legal business name Mastronardi, Dante D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 22nd, 2011 - 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 1649212697 NPPES
New York Other 050301000145 FIDELIS CARE NY
New York MEDICAID 0320F320026 FIDELIS CARE NY

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