Mastronardi, Theresa Marie
Mastronardi, Theresa Marie is an sole proprietor health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mastronardi, Theresa Marie can be contacted via phone (845) 563-8000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 017234-01 | New York |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 287403 | New York |
Profile Details
NPI number | 1891082269 |
---|---|
LBN Legal business name | Mastronardi, Theresa Marie |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2011 |
Last updated | Jun 5th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891082269 | NPPES |
New York | MEDICAID | 04814595 |
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