National Provider Identifier

Travis Anthony Mastroianni, D.O.

Travis Anthony Mastroianni, D.O. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 826-7000.

NPI 1063624468Buffalo, NYDiagnostic Radiology Physician

Profile Overview

NPI
1063624468
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
May 06, 2007
Last Updated
September 16, 2013

Practice Location

  • 565 Abbott RD
  • Buffalo, NY 14220-2039

Phone: (716) 826-7000

Mailing Address

  • 3040 Amsdell RD
  • Hamburg, NY 14075-5835

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1063624468
Entity Type
Individual
Last Name
Mastroianni
First Name
Travis
Middle Name
Anthony
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
3040 Amsdell RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-5835
Mailing Country
US
Mailing Phone
(716) 649-9000
Mailing Fax
(716) 649-9005
Practice Street Address
565 Abbott RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2039
Practice Country
US
Practice Phone
(716) 826-7000
Practice Fax
(716) 649-9005
Enumeration Date
May 06, 2007
Last Updated
September 16, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
03283209 (NY)