Individual
MR. JOSEPH M MESSANA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSWD
Contact information
Practice address
245 N WISCONSIN AVE, NORTH MASSAPEQUA, NY 11758-1740
(516) 586-5012
Mailing address
245 NORTH WISCONSIN AVE, N MASSAPEQUA, NY 11785
(516) 586-5012
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
806613
NY
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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