Individual
DR. GREGORY JOHN MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5392
Mailing address
6 JOHNNY PL, EAST GREENBUSH, NY 12061-2028
(518) 477-9413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 015100
NY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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