Organization
M.A.S. MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE VESSICHELLI (BILLING MANAGER)
(973) 600-4691
Entity
Organization
Contact information
Practice address
3055 21ST ST, ASTORIA, NY 11102-3669
(973) 600-4691
Mailing address
3164 21ST ST, LONG ISLAND CITY, NY 11106-4573
(973) 600-4691
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
227248
NY
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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