Individual provider · Type 1 NPI
Breanne Kristen Mastromarino, NP
Acute Care Nurse Practitioner · New York, NY
NPI number
1306715016
Active
Practice location
177 Fort Washington Ave
New York, NY 10032-3733
Mailing address
262 Briarcliff Rd
Ridgewood, NJ 07450-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 433473 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1306715016
Breanne Kristen Mastromarino, NP's National Provider Identifier is 1306715016, issued on Oct 31, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Nov 19, 2025.