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Individual

MR. ROBERT J MASCARELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
100 MERRICK RD, SUITE 128W, ROCKVILLE CENTRE, NY 11570-4800
(516) 255-9031
(616) 255-6010
Mailing address
998C OLD COUNTRY RD STE 132, PLAINVIEW, NY 11803-4917
(573) 240-6942
(516) 827-4517

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008855-1
NY

Other

Enumeration date
06/21/2006
Last updated
01/06/2022
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