Massaro, Marisa

Massaro, Marisa is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 14 , Stony Brook NY 11790-2555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Massaro, Marisa can be contacted via phone (631) 689-6226.

Contact Information

Primary practice address
2500 Nesconset Hwy Bldg 14 Stony Brook NY 11790-2555
Phone: (631) 689-6226
Fax: (631) 675-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 342010 New York

Profile Details

NPI number 1891217774
LBN Legal business name Massaro, Marisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891217774 NPPES
New York MEDICAID 07176034

Popular Providers