| Dr Domenico Carmine Mastandrea, DO | |
|
45 Reade Pl, Poughkeepsie, NY 12601-3947 | |
| (845) 431-5680 | |
| Not Available |
| Full Name | Dr Domenico Carmine Mastandrea |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 45 Reade Pl, Poughkeepsie, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013236389 | NPI | - | NPPES |
| 03612993 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 264301 (New York) | Primary |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Domenico Carmine Mastandrea, DO 47 Oakbrook Ln, Lagrangeville, NY 12540-6236 Ph: (845) 238-6260 | Dr Domenico Carmine Mastandrea, DO 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 431-5680 |
Miss Alexis Cordiano, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-431-5624 Fax: 610-617-6280 | |
Dr. Nadia Adside, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-790-2085 | |
Dr. Tatyana Shkolnikov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603 Phone: 845-225-7337 Fax: 845-225-1183 | |
Mr. Mohammad Ahmad Khan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2649 South Road, Suite 104, Poughkeepsie, NY 12601 Phone: 845-790-1317 | |
Dr. Yong Kwok, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Read Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 | |
Kristin Wolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1910 South Rd, Poughkeepsie, NY 12601 Phone: 845-454-0120 Fax: 845-686-9016 |