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Individual

MRS. JOSANN MATASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
950 S OYSTER RD, HICKSVILLE, NY 11801
(516) 822-6611
Mailing address
261 B. DIVISION AVE, MASSAPEQUA, NY 11758
(516) 804-4840

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402102
NY

Other

Enumeration date
11/16/2016
Last updated
11/16/2016
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