Joseph M Messana I MSWD

NPI 1093063232 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1093063232
Gender Male
Enumeration Date 08/20/2012
Last Updated 08/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
245 N WISCONSIN AVE
NORTH MASSAPEQUA NY, 11758-1740, US
Phone (516) 586-5012
Fax
Business Location
245 NORTH WISCONSIN AVE
N MASSAPEQUA NY, 11785, US
Phone (516) 586-5012
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 806613
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According to our database, Mr. Joseph M Messana I MSWD NPI is 1093063232, taxonomy code is 252Y00000X and license number is 806613, license state is located at New York. Joseph M Messana I MSWD physically located at 245 N Wisconsin Ave, North Massapequa NY, 11758-1740. NPI Number Joseph M Messana I MSWD has the Individual type.

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1093063232 NPI number is provided on an as is basis without warranty of any kind. 1093063232 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph M Messana I MSWD are for informational purposes only.