Provider Demographics
NPI:1093108607
Name:MASTER, DEV RASHMIN (MD)
Entity Type:Individual
Prefix:
First Name:DEV
Middle Name:RASHMIN
Last Name:MASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88-23 JUSTICE AVE.
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-271-0110
Mailing Address - Fax:718-592-6340
Practice Address - Street 1:88-23 JUSTICE AVE.
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-271-0110
Practice Address - Fax:718-592-6340
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-07
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285350208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics