Individual
REGINA MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 S BROADWAY, HICKSVILLE, NY 11801-5006
(516) 938-0100
(516) 938-0120
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3039651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574261
—
NY
Enumeration date
01/05/2006
Last updated
05/07/2014
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