National Provider Identifier
Jerome D Mastrandrea, RPA-C
Jerome D Mastrandrea, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 839-0632.
Profile Overview
- NPI
- 1053348912
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 4510 Main St
- Buffalo, NY 14226-3800
Phone: (716) 839-0632
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1053348912
- Entity Type
- Individual
- Last Name
- Mastrandrea
- First Name
- Jerome
- Middle Name
- D
- Credential
- RPA-C
- Mailing Street Address
- 4510 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3800
- Mailing Country
- US
- Mailing Phone
- (716) 839-0632
- Mailing Fax
- (716) 839-0632
- Practice Street Address
- 4510 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14226-3800
- Practice Country
- US
- Practice Phone
- (716) 839-0632
- Practice Fax
- (716) 839-0632
- Enumeration Date
- June 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)