Individual
JEILYN CABRERA-MASCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(516) 424-6047
Mailing address
172 ONTARIO AVE, MASSAPEQUA, NY 11758-3937
(516) 424-6047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
08/28/2025
Last updated
09/02/2025
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