Individual
DINA MASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 549-6200
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6299
(516) 733-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30912
NY
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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