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Contact Information

ROBERT J MASCARELLI, PHYSICIAN ASSISTANT
100 MERRICK RD
SUITE 128W
ROCKVILLE CENTRE, NY11570-4800
 Phone: 516-255-9031
 Fax: 616-255-6010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROBERT J MASCARELLI · (Male)

NPI # 1932145687
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 06/21/2006
Last updated 01/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 008855-1
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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