Massaro, Monica
Massaro, Monica is an sole proprietor health care provider with primary practice located at 1401 Main St , Port Jefferson NY 11777-2225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Massaro, Monica can be contacted via phone (631) 928-0202.Contact Information
Primary practice address
1401 Main St
Port Jefferson NY 11777-2225
Phone: (631) 928-0202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071289 | New York |
Profile Details
| NPI number | 1598396970 |
|---|---|
| LBN Legal business name | Massaro, Monica |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2020 |
| Last updated | Feb 26th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598396970 | NPPES |
| New York | Other | 071289 | LICENSE |
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