Provider Demographics
NPI:1427215110
Name:MASCARO, HILDA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:MARIA
Last Name:MASCARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HILDA
Other - Middle Name:MARIA
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:27 RIVERVIEW TER
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1155
Mailing Address - Country:US
Mailing Address - Phone:516-848-7445
Mailing Address - Fax:
Practice Address - Street 1:1276 FULTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3402
Practice Address - Country:US
Practice Address - Phone:718-466-6020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2634712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry