Jerome D Mastrandrea in Buffalo - Physician Assistant
Jerome D Mastrandrea - NPI 1053348912
Jerome D Mastrandrea is a Physician Assistant in Buffalo, New York. Jerome D Mastrandrea practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerome D Mastrandrea is 1053348912. The last update date is 2007-07-08.
Jerome D Mastrandrea's current location address is 4510 Main St, Buffalo, New York. You can contact this provider via phone number 7168390632 and fax number 7168390632. The mailing address for Jerome D Mastrandrea is 4510 Main St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome D Mastrandrea |
|---|---|
| Address | 4510 Main St, Buffalo, New York |
| Phone Number | 7168390632 |
| Fax Number | 7168390632 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1053348912 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4510 Main St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142263800 |
| Phone Number | 7168390632 |
| Fax Number | 7168390632 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 004504-1 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Jerome D Mastrandrea by the Centers for Medicare & Medicaid Services?
The Jerome D Mastrandrea has been issued the NPI (National Provider Identifier) 1053348912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerome D Mastrandrea's facilities are situated?
The facilities of Jerome D Mastrandrea are physically located at the following address: 4510 Main St, Buffalo, NY, 142263800.
What is Jerome D Mastrandrea's area of expertise and its corresponding taxonomy classification?
The Jerome D Mastrandrea's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jerome D Mastrandrea's 1053348912 issued?
The Jerome D Mastrandrea's 1053348912 was issued on 2006-06-27.
When was the information regarding Jerome D Mastrandrea most recently updated?
The details pertaining to the Jerome D Mastrandrea, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.