Provider Demographics
NPI:1821173014
Name:MASELLI, PAUL CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:MASELLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 MC NAIR DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3779
Mailing Address - Country:US
Mailing Address - Phone:845-304-9237
Mailing Address - Fax:914-686-6961
Practice Address - Street 1:2488 GRAND CONCOURSE RM 310
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5209
Practice Address - Country:US
Practice Address - Phone:718-733-1000
Practice Address - Fax:718-733-0351
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010784111N00000X
NYX010784-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor