Provider Demographics
NPI:1831302694
Name:MASON, KARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 60TH ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1084
Mailing Address - Country:US
Mailing Address - Phone:212-355-2195
Mailing Address - Fax:212-355-2191
Practice Address - Street 1:30 E 60TH ST
Practice Address - Street 2:SUITE 503
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1084
Practice Address - Country:US
Practice Address - Phone:212-355-2195
Practice Address - Fax:212-355-2191
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0420671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice