Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC MASTANDUONO
ActiveERIC MASTANDUONO is a Oral & Maxillofacial Pathology healthcare provider located in LYNBROOK, New York. NPI 1770393894 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Pathology · LYNBROOK, NY
Registration Details
- NPI Number
- 1770393894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2025 (1.4101928962865 yrs)
- Last Updated
- Jan 10, 2025
- License
-
063527 (NY)
Practice Information
- Address
-
269 MERRICK RDLYNBROOK, NY, 115632615Browse NY providers · Browse ZIP 11563
- Phone
- 5162426255
- Primary Specialty
-
Oral & Maxillofacial Pathology
1223X0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.