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Organization
MASON MEDICAL PRACTICE PLLC
Active
Organization
MASON MEDICAL PRACTICE PLLC
Active
Parent organization
MASON MEDICAL PRACTICE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASON MEDICAL PRACTICE PLLC
Authorized official
WISSAM HOYEK MD (OWNER)
(917) 922-1744
Entity
Organization
Contact information
Practice address
265 MASON AVE, STATEN ISLAND, NY 10305-3412
(718) 887-2280
(718) 887-2277
Mailing address
948 TODT HILL RD, STATEN ISLAND, NY 10304-1318
(718) 887-2280
(718) 887-2277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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