Individual
MRS. BEATRICE MASTACCIUOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
50 HIGHWOOD RD, OYSTER BAY, NY 11771-3802
(631) 754-0532
Mailing address
106 BROADWAY, GREENLAWN, NY 11740-1310
(631) 754-0532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0469631
NY
Other
Enumeration date
01/31/2008
Last updated
02/26/2013
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