| Doctor Name: | ALISON ROBIN MASTANDREA |
| NPI Number: | 1235467952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 507691-1 |
| Business Practice Address: | 241 Buck Brook Rd Roscoe, NY - 127765612 |
| Business Phone Number: | 8454825431 |
| Business Fax Number: | 8454829054 |
| Mailing Address: | 241 Buck Brook Rd, ROSCOE |
| State: | NY |
| Postal Code: | 127765612 |
| Phone Number: | 8454825431 |
| Fax Number: | 8454829054 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 507691-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |