Provider Demographics
NPI:1801687611
Name:MASNA, SYDNEY (OD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:MASNA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PHIPPS POINT RD
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH
Mailing Address - State:ME
Mailing Address - Zip Code:04579-5129
Mailing Address - Country:US
Mailing Address - Phone:860-377-3751
Mailing Address - Fax:
Practice Address - Street 1:485 WILLARD AVE
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2376
Practice Address - Country:US
Practice Address - Phone:860-666-7053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program