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Individual

MS. STACIA MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED,VMSELAA

Contact information

Practice address
471 VANDERBILT AVE, STATEN ISLAND, NY 10304-3521
(917) 873-6286
Mailing address
471 VANDERBILT AVE, STATEN ISLAND, NY 10304-3521
(917) 873-6286

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
NY

Other

Enumeration date
11/28/2025
Last updated
11/28/2025
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