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Alyssa Rose Mascolo

Student in an Organized Health Care Education/Training Program in Jamaica, NY. Individual provider (NPI-1).

NPI number1154880433
StatusActive
Last updated in NPPESJul 1, 2019

Details

NPI
1154880433
Entity type
Individual (NPI-1)
Name
Alyssa Rose Mascolo
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2019
Last updated
Jul 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

13420 Jamaica Ave
Jamaica, NY 11418-2619

Phone 718-206-6000

Mailing address

13420 Jamaica Ave
Jamaica, NY 11418-2619

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