Individual
JOSEPH SIMEON MASSAQUOI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 OAK ST, GARDEN CITY, NY 11530-6554
(516) 485-5976
Mailing address
1 SOUTH AVE # 100, GARDEN CITY, NY 11530-4213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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