=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841342896
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHEY, ROBBINS & MASTRANTONIO, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1915 CENTRAL PARK AVE # 25
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10710-2949
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-961-0201
-----------------------------------------------------
Fax | 914-961-6365
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1915-25 CENTRAL PARK AVENUE
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-961-0201
-----------------------------------------------------
Fax | 914-961-6365
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOHN JOSEPH MASTRANTONIO SR.
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 914-961-0201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 101929
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------