NICOLE MASSARO

WEST ISLIP, NY
NPI1669627832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  012961)
Enumeration Date2008-12-01
Last Update Date2008-12-03
Business Address
-- NICOLE MASSARO R-PAC
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
Mailing Address
-- NICOLE MASSARO R-PAC
557 WALNUT AVE
BOHEMIA, NY 11716-4906
Phone number: 631-241-6603
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