JACK MASSA

BAY SHORE, NY
NPI1942062302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
JACK MASSA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
JACK MASSA
4001 THE FAIRWAY
CALVERTON, NY 11933-1372
Phone number: 631-413-5955
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