Individual
DR. GEORGE E. MASCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16930 JAMAICA AVE, JAMAICA, NY 11432-5218
(718) 297-2953
(718) 297-5629
Mailing address
104 ELAINE DR, OCEANSIDE, NY 11572-5709
(718) 297-2953
(718) 297-5629
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3948-T
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00497645
—
NY
01
—
0492882
AETNA
NY
01
—
P1865484
OXFORD
NY
Enumeration date
09/27/2006
Last updated
11/15/2007
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