Individual
MR. JAMES MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
160 N MIDLAND AVE, NYACK HOSPITAL, NYACK, NY 10960-1912
(845) 348-2862
Mailing address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
320391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430042910
RAIL ROAD MEDICARE
NY
Enumeration date
08/18/2005
Last updated
02/20/2009
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