Individual
ANDREA MAY MASTROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
175 FULTON AVE, HEMPSTEAD, NY 11550-3718
(516) 481-0052
Mailing address
175 FULTON AVE, HEMPSTEAD, NY 11550-3718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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