Provider Demographics
NPI:1851600738
Name:MASSARO, CLAUDIA
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:MASSARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GEORGIA DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4823
Mailing Address - Country:US
Mailing Address - Phone:516-364-0159
Mailing Address - Fax:
Practice Address - Street 1:39 GEORGIA DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4823
Practice Address - Country:US
Practice Address - Phone:516-364-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor