Mascolo, Thomas Alfred

Mascolo, Thomas Alfred is an individual health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Mascolo, Thomas Alfred can be contacted via phone (631) 266-6057.

Contact Information

Primary practice address
79 Middleville Rd Northport NY 11768-2200
Phone: (631) 266-6057
Fax: (631) 266-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1346530383
LBN Legal business name Mascolo, Thomas Alfred
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Apr 11th, 2011 - about 14 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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