Masseria, Michael Kenneth

Masseria, Michael Kenneth is an individual health care provider with primary practice located at Stony Brook University Medical Center Hsc Level 4 - Room 060, Stony Brook NY 11794-8480. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Masseria, Michael Kenneth can be contacted via phone (631) 444-2975.

Contact Information

Primary practice address
Stony Brook University Medical Center Hsc Level 4 - Room 060 Stony Brook NY 11794-8480
Phone: (631) 444-2975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 431879 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 686773 New York

Profile Details

NPI number 1811454051
LBN Legal business name Masseria, Michael Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Mar 12th, 2025 - about last year

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.

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