# MASON MEDICAL PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MASON MEDICAL PRACTICE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306639018
- **Legal business name:** MASON MEDICAL PRACTICE PLLC
- **Authorized official:** WISSAM HOYEK MD (OWNER)
- **Authorized official phone:** (917) 922-1744

## Contact information

- **Practice address:** 265 MASON AVE, STATEN ISLAND, NY 10305-3412
- **Practice address phone:** (718) 887-2280
- **Practice address fax:** (718) 887-2277
- **Mailing address:** 948 TODT HILL RD, STATEN ISLAND, NY 10304-1318
- **Mailing address phone:** (718) 887-2280
- **Mailing address fax:** (718) 887-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 05/26/2025
- **Last updated:** 05/26/2025