All Medicaid billing entities listing BASTAWROS, MARY (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $13K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | M,BASTAWROS,PHYSICIAN,P.C. | STATEN ISLAND, NY | Exclusive Provider Organization | $13K |