Individual
ANDREA L MASSOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 OXFORD RD, NEW HARTFORD, NY 13413-2637
(315) 624-1220
Mailing address
6564 EVANS RD, ROME, NY 13440-8744
(315) 717-1637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006379-01
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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