Massaro, Vincent Patrick

Massaro, Vincent Patrick is an sole proprietor health care provider with primary practice located at 3781 Milton Ave , Camillus NY 13031-1557. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Massaro, Vincent Patrick can be contacted via phone (315) 487-5775.

Contact Information

Primary practice address
3781 Milton Ave Camillus NY 13031-1557
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26688 New York

Profile Details

NPI number 1548585839
LBN Legal business name Massaro, Vincent Patrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2010
Last updated Mar 30th, 2010 - about 15 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 1548585839 NPPES
New York MEDICAID 00905748

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