Individual
LAURA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1990 WHITEHAVEN RD, GRAND ISLAND, NY 14072-1846
(716) 453-1423
Mailing address
22 TRAILS END, GRAND ISLAND, NY 14072-2189
(716) 887-5200
(716) 625-1236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
303938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02526149
—
NY
01
—
BLUE CROSS
000560867001
NY
01
—
INDEPENDENT HEALTH
9512432
NY
01
—
UNIVERA
00026705101
NY
Enumeration date
05/02/2006
Last updated
05/11/2025
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