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Dr. Thomas Alfred Mascolo, DMD
Student in an Organized Health Care Education/Training Program in Northport, New York
NPI 1346530383

Thomas Alfred Mascolo is a Student in an Organized Health Care Education/Training Program based in East Northport, NY. Thomas Alfred Mascolo practices in Northport, NY and has the professional credentials of DMD. The NPI Number for Thomas Alfred Mascolo is 1346530383 and holds a License No. (New York).

The current practice location address for Thomas Alfred Mascolo is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-266-6057 and via fax at 631-266-6020.

Location: 79 Middleville Rd, Northport, NY, 11731-4110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346530383
Provider Name
Thomas Alfred Mascolo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
79 Middleville Rd, Northport, NY, 11731-4110
Phone Number
631-266-6057
Fax Number
631-266-6020
Provider Enumeration Date
04/11/2011
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
631-266-6057
Fax Number
631-266-6020
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-266-6057
Fax Number
631-266-6020
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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