National Provider Identifier
Eddie Eugenio Mas, MD
Eddie Eugenio Mas, MD is listed in the NPPES registry with a primary specialty of Specialist in West Seneca, NY and a listed phone number of (716) 823-3300.
Profile Overview
- NPI
- 1154315554
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- August 31, 2005
- Last Updated
- September 22, 2011
Practice Location
- 172 Slade Ave
- West Seneca, NY 14224-2643
Phone: (716) 823-3300
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1154315554
- Entity Type
- Individual
- Last Name
- Mas
- First Name
- Eddie
- Middle Name
- Eugenio
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 172 Slade Ave
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2643
- Mailing Country
- US
- Mailing Phone
- (716) 823-3300
- Mailing Fax
- (716) 823-0757
- Practice Street Address
- 172 Slade Ave
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2643
- Practice Country
- US
- Practice Phone
- (716) 823-3300
- Practice Fax
- (716) 823-0757
- Enumeration Date
- August 31, 2005
- Last Updated
- September 22, 2011
- Deactivation Date
- March 24, 2006
- Reactivation Date
- March 31, 2006
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 00010112303 (NY, Univera Healthcare), 01331722 (NY), 0001011234 (NY, Univera), 000511359010 (NY, B/C&B/S Comm. Blue), 1010553 (NY, Fidelis), 000511359011 (NY, Blue Cross), 0708146 (NY, Independent Health), RB5383 (Medicare), 060413000064 (NY, Fidelis)