Provider Demographics
NPI:1962647255
Name:MASKER, MARIA ELLEN (PT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELLEN
Last Name:MASKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:ELLEN
Other - Last Name:MASKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:23 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2213
Mailing Address - Country:US
Mailing Address - Phone:914-474-9618
Mailing Address - Fax:845-229-2031
Practice Address - Street 1:23 MORRIS DR
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2213
Practice Address - Country:US
Practice Address - Phone:914-474-9618
Practice Address - Fax:845-229-2031
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009642-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist