Most Relevant Information
Provider Data
NPI Number: | 1003410168 |
Provider Name: | REBECCA MASSONE PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 028660 |
Most Important Dates
Enumeration Date: | 11/29/2020 |
Last Updated: | 08/13/2023 |
Provider Practice Location
2307 BELLMORE AVE
BELLMORE
NY
117105651
Practice Location Phone/Fax
Phone: | 5163087070 |
Fax: |
Provider Mailing Location
2307 BELLMORE AVE
BELLMORE
NY
117105651
Provider Mailing Phone/Fax
Phone: | 5163087070 |
Fax: | 5163087071 |