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Individual
MR. MICHAEL MASHBERG MASHBERG
Active
Individual
MR. MICHAEL MASHBERG MASHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072378-PR
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01994210
—
NY
01
—
190122000057
FIDELIS
—
01
—
754455
BEACON
NY
01
—
9305158
AETNA
—
01
—
A300200191
MEDICARE
—
01
—
MEDICARE
A300200191
—
Enumeration date
04/07/2007
Last updated
07/16/2025
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