DOMINICK MASSARO (NPI# 1033284732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033284732 |
| Entity Type | Individual |
| Full Name | DOMINICK MASSARO |
| Credential | CDC III |
| Practice Address |
2925 Hamburg St St Peters Addiction Recovery Center Schenectady NY 12303-4343 |
| Mailing Address |
2209 Fairlawn Pkwy Schenectady NY 12309-2307 |
| Practice Telephone | 5183572909 |
| Practice Fax Number | 5183572937 |
| Mailing Telephone | 5183572909 |
| Mailing Fax Number | 5183572937 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2925 HAMBURG ST ST PETERS ADDICTION RECOVERY CENTER |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275602609 | Ashley L Pollock | Counselor | 2925 Hamburg St, Box 3, Schenectady, NY 12303-4343 | 2006-11-07 |
| 1447655899 | Mary Hadsell | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2014-10-28 |
| 1811324908 | Crystal R Devoe | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2013-10-03 |
| 1225462732 | Jessica Lynn Boer | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2013-09-03 |
| 1780016220 | Kelley Anne Gilligan | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2013-08-07 |
| 1770825655 | Rebecca Cohen | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2013-03-19 |
| 1174806038 | Tyrone Stephen Bussey Sr. | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2011-09-27 |
| 1205117082 | Jungeun Kim | Counselor | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2011-09-07 |
| 1205062155 | Barbara Vossler | Social Worker | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2009-06-05 |
| 1508008400 | Carolyn Leslie Brown | Social Worker | 2925 Hamburg St, Schenectady, NY 12303-4343 | 2009-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598322489 | Victor Marcellas Rose Jr. | Counselor | 2400 Albany St Apt 19, Schenectady, NY 12304-3306 | 2019-05-25 |
| 1467774141 | Ekanem E. Burke | Counselor | 2308 Barcelona Rd, Schenectady, NY 12309-5305 | 2010-02-22 |
| 1275602609 | Ashley L Pollock | Counselor | 2925 Hamburg St, Box 3, Schenectady, NY 12303-4343 | 2006-11-07 |
| 1194819854 | Carver Community Center of Schenectady, Inc. | Counselor | 846 State Street, Schenectady, NY 12307 | 2006-10-03 |
| 1972151579 | Lawrence Watson | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2019-08-28 |
| 1407403108 | Miranda Jean Deetz | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2019-08-19 |
| 1669935391 | Tarina Lee Mayo | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2019-04-10 |
| 1235614280 | Sydney E Foley | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2107 | 2018-09-26 |
| 1174036149 | Stephanie Bydairk | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| 1740793710 | Jennifer Clemons | Counselor | 600 Franklin St Ste 204, Schenectady, NY 12305-2100 | 2017-11-13 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
Please comment or provide details below to improve the information on DOMINICK MASSARO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.