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Contact Information

EDIT K MASABA, MD
4573 STATE ROUTE 40
ARGYLE, NY12809
 Phone: 518-638-8274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDIT K MASABA · (Female)

NPI Number 1407844590
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 06/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 204708
  • NY Medicaid 01830895
  • NY Other P00010322 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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