Individual
DR. JOELLE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
157890
NY
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
157890
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
157890
NY
Other
Enumeration date
05/02/2007
Last updated
09/01/2015
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