Mascioli, Anthony H

Mascioli, Anthony H is an individual health care provider with primary practice located at 918 N Main St , Newark NY 14513-1030. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mascioli, Anthony H can be contacted via phone (315) 462-9667.

Contact Information

Primary practice address
918 N Main St Newark NY 14513-1030
Phone: (315) 462-9667
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P023081 New York

Profile Details

NPI number 1689617961
LBN Legal business name Mascioli, Anthony H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 23rd, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689617961 NPPES
New York MEDICAID 00552649

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