Individual
DR. ANTHONY H MASCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
918 N MAIN ST, NEWARK, NY 14513-1030
(315) 462-9667
Mailing address
918 N MAIN ST, NEWARK, NY 14513-1030
(315) 331-7056
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P023081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00552649
—
NY
Enumeration date
06/14/2006
Last updated
10/23/2007
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