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Cecilia North Mastrogiacomo
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1174373120

Cecilia North Mastrogiacomo is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Cecilia North Mastrogiacomo practices in Stony Brook, NY. The NPI Number for Cecilia North Mastrogiacomo is 1174373120 and holds a License No. (New York).

The current practice location address for Cecilia North Mastrogiacomo is 101 Nicolls Rd Rm 20, Stony Brook, NY and can be reached out via phone at 631-444-2739 and via fax at 631-444-8954.

Location: 101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174373120
Provider Name
Cecilia North Mastrogiacomo
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd Rm 20, Stony Brook, NY, 11794-0001
Phone Number
631-444-2739
Fax Number
631-444-8954
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2739
Fax Number
631-444-8954
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 20
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2739
Fax Number
631-444-8954
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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