Individual
HILLARY M MASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
33 WILLIS AVE, RAVENA, NY 12143-1922
(518) 388-0139
Mailing address
33 WILLIS AVE, RAVENA, NY 12143-1922
(518) 388-0139
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8426-1
NY
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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