Mastrota, Katherine

Mastrota, Katherine is an individual health care provider with primary practice located at 2785 Ocean Pkwy , Brooklyn NY 11235-7838. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mastrota, Katherine can be contacted via phone (718) 646-2200.

Contact Information

Primary practice address
2785 Ocean Pkwy Brooklyn NY 11235-7838
Fax: (718) 646-6623
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0050013 New York

Profile Details

NPI number 1154324457
LBN Legal business name Mastrota, Katherine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1154324457 NPPES
New York MEDICAID 01952758

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