Individual
DR. ADELAIDE LU MASAKAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 209-2827
(631) 209-2829
Mailing address
112 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 209-2827
(631) 209-2829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210204
NY
Other
Enumeration date
11/17/2006
Last updated
03/16/2016
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