Masciello, Michael A
Masciello, Michael A is an individual health care provider with primary practice located at 540 Union Blvd , West Islip NY 11795-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Masciello, Michael A can be contacted via phone (631) 669-2555.Contact Information
Primary practice address
540 Union Blvd
West Islip NY 11795-3105
Phone: (631) 669-2555
Fax: (631) 669-3051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 147722 | New York |
Profile Details
| NPI number | 1306824719 |
|---|---|
| LBN Legal business name | Masciello, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Aug 25th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306824719 | NPPES |
| New York | MEDICAID | 00888651 |
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