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Dr. Nicholas Marcello Mastroianni, DDS
Student in an Organized Health Care Education/Training Program in Northport, New York
NPI 1023465770

Nicholas Marcello Mastroianni is a Student in an Organized Health Care Education/Training Program based in Northport, NY. Nicholas Marcello Mastroianni practices in Northport, NY and has the professional credentials of DDS. The NPI Number for Nicholas Marcello Mastroianni is 1023465770 and holds a License No. (New York).

The current practice location address for Nicholas Marcello Mastroianni is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400 and via fax at 631-754-7982.

Location: 79 Middleville Rd, Northport, NY, 11768-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023465770
Provider Name
Nicholas Marcello Mastroianni
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
79 Middleville Rd, Northport, NY, 11768-2200
Phone Number
631-261-4400
Fax Number
631-754-7982
Provider Enumeration Date
05/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
631-754-7982
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
631-754-7982
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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