Individual
MR. JONATHAN MASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
366 ELM AVE, DELMAR, NY 12054-9731
(518) 257-6515
Mailing address
366 ELM AVE, DELMAR, NY 12054-9731
(518) 257-6515
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
316846
NY
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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