| Mr Dimitrios S Mastrogiannis, MD,PHD,FACOG | |
|
90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | |
| (315) 464-4458 | |
| (315) 464-6388 |
| Full Name | Mr Dimitrios S Mastrogiannis |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 90 Presidential Plaza, Syracuse, 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 |
|---|---|---|---|
| 1083644132 | NPI | - | NPPES |
| 036.136742 | Medicaid | IL | |
| 01464295 | Medicaid | NY |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154541936 PECOS PAC ID: 3072422716 Enrollment ID: O20031201000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dimitrios S Mastrogiannis, MD,PHD,FACOG 251 Salina Meadows Pkwy, Suite 100, Syracuse, NY 13212-4516 Ph: (315) 464-2000 | Mr Dimitrios S Mastrogiannis, MD,PHD,FACOG 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 Ph: (315) 464-4458 |
Kasandra Lynne Scales, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5162 Fax: 315-464-4613 | |
Alfredo Lopez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 516 Prospect Ave, Syracuse, NY 13208 Phone: 315-703-5200 Fax: 315-703-5201 | |
Althea Hoilett Barrett, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 Palace Ct, Apt. C, Syracuse, NY 13212 Phone: 315-836-3012 | |
Dr. Beth M Houck, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 475 Irving Ave Ste 406, Syracuse, NY 13210 Phone: 315-766-1610 Fax: 315-282-2708 | |
Leah Kaufman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 725 Irving Ave, Ste 600, Syracuse, NY 13210 Phone: 315-464-5162 Fax: 315-464-4613 | |
George L Stanley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 819 S Salina St, Syracuse, NY 13202 Phone: 315-476-7921 Fax: 315-474-1448 | |
Ashley Klein, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 475 Irving Ave Ste 108, Syracuse, NY 13210 Phone: 315-671-0070 |