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1215309562
MATTHEW MASCIANDARO
EAST NORTHPORT, NY
NPI
1215309562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 038144-1)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
Mr. MATTHEW MASCIANDARO DPT FMT
279 LARKFIELD RD
EAST NORTHPORT, NY 11731-2415
Phone number: 631-261-1370
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Mailing Address
Mr. MATTHEW MASCIANDARO DPT FMT
279 LARKFIELD RD
EAST NORTHPORT, NY 11731-2415
Phone number: 631-261-1370
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