# MARIA N. MUSSO, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710183942
- **Authorized official:** MARIA NELLA MUSSO D.O (PHYSICIAN)
- **Authorized official phone:** (718) 641-7180

## Contact information

- **Practice address:** 9407 156TH AVE, HOWARD BEACH, NY 11414-2826
- **Practice address phone:** (718) 641-7180
- **Mailing address:** 9407 156TH AVE, HOWARD BEACH, NY 11414-2826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 196338 | NY | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 07/11/2007