Individual
ANDREA MASCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT INTERN
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
(718) 485-2101
Mailing address
95 W 95TH ST, APT. 18A, NEW YORK, NY 10025-6778
(561) 706-9455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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