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Individual
LYNNE MARIE MASSARO
Active
Individual
LYNNE MARIE MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP-BC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632300
—
NY
01
—
RA5971
MEDICARE ID
NY
Enumeration date
08/10/2006
Last updated
05/15/2014
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