Organization
MASCARO HEALTH, INC.
Active
Other names
Mascaro Mental Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY R MASCARO DO (PRESIDENT)
(516) 448-1348
Entity
Organization
Contact information
Practice address
27 RIVERVIEW TER, SMITHTOWN, NY 11787-1155
(516) 448-1348
Mailing address
27 RIVERVIEW TER, SMITHTOWN, NY 11787-1155
(516) 448-1348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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