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1902313703
MICHAEL J MASTROTOTARO
QUEENS VILLAGE, NY
NPI
1902313703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077802)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
Mr. MICHAEL J MASTROTOTARO
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 212-264-4067
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Mailing Address
Mr. MICHAEL J MASTROTOTARO
1 WILTON ST
NEW HYDE PARK, NY 11040-3829
Phone number:
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