Masters, Marie P
Masters, Marie P is an individual health care provider with primary practice located at 155 Indian Head Rd , Commack NY 11725-2212. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Masters, Marie P can be contacted via phone (631) 543-6200.Contact Information
Primary practice address
155 Indian Head Rd
Commack NY 11725-2212
Phone: (631) 543-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16882 | New York |
Profile Details
| NPI number | 1851574081 |
|---|---|
| LBN Legal business name | Masters, Marie P |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2007 |
| Last updated | Dec 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851574081 | NPPES |
| New York | Other | 16882 | CASAC |
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