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Organization

MASCARO TELE-MEDICINE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMY R MASCARO DO (CEO)
(516) 448-1348
Entity
Organization

Contact information

Practice address
27 RIVERVIEW TER, SMITHTOWN, NY 11787-1155
(516) 448-1348
(631) 265-1168
Mailing address
27 RIVERVIEW TER, SMITHTOWN, NY 11787-1155
(516) 448-1348
(631) 265-1168

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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