Alison Robin Mastandrea, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Roscoe, NY
NPI 1235467952 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1235467952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 507691-1 (NY)
- Practice address
- 241 Buck Brook Rd
Roscoe, NY 12776-5612 - Phone
- (845) 482-5431
- Fax
- (845) 482-9054
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 507691-1 | NY | MD | General Practice Registered Nurse |
| RN-578757 | PA | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 507691-1 | NY | |
| Medical-Surgical Registered Nurse | 163WM0705X | 507691-1 | NY | Yes |
| Medical-Surgical Registered Nurse | 163WM0705X | RN-578757 | PA |
Addresses
Primary practice location
241 Buck Brook Rd
Roscoe, NY 12776-5612
Mailing address
241 Buck Brook Rd
Roscoe, NY 12776-5612
Phone (845) 482-5431
Other providers in Roscoe, NY
- Kelly Dahlman Grossman
- Dawn Anne Dorcas
- Sophia Hanson-Charles
- Michelle Lavery
- Livingston Manor Pharmacy LLC
- R & R Volunteer Ambulance Corp
- Roscoe Central School
- Roscoe Community Nursing Home Co., Inc
- Roscoe Regional Healthcare LLC
- Margaret Anne Shaw
All providers in Roscoe, NY · Medical-Surgical Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.