Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 109160 | NY |
NPI | 1043273972 |
---|---|
Provider Name | Robert H Mashioff |
First Address | Seaford, NY 11783-1324 |
Second Address | Seaford, NY 11783-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 02/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F28084 | (02) |