Vicki Kumari Masson
Pediatrician Pediatric Pulmonologist
4 Technology Dr
East Setauket
, New York 11733-4080
Vicki Kumari Masson
Pediatrician Pediatric Pulmonologist
4 Technology Dr
East Setauket
, New York 11733-4080
(631) 741-0549
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Vicki Kumari Masson
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Phone : (631) 741-0549
Second Address
- Vicki Kumari Masson
- 4 Technology Dr
- East Setauket, NY
- Zip : 11733-4080
- Phone : (631) 444-4601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A141922 | CA |
| Y | 2080P0214X | Pediatric Pulmonologist | 301464-01 | NY |
National Provider Identifier
| NPI | 1598101180 |
|---|---|
| Provider Name | Vicki Kumari Masson |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | East Setauket, NY 11733-4080 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2013 |
| Last Update Date | 18/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.