Organization
PHYSICIAN ASSISTANT ASSOCIATE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MASCARELLI PA (PHYSICIAN ASSISTANT)
(573) 240-6942
Entity
Organization
Contact information
Practice address
1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795
(631) 376-3000
Mailing address
998C OLD COUNTRY RD STE 132, PLAINVIEW, NY 11803-4917
(573) 240-6942
(516) 827-4517
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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