Matthew Mario Masciandaro (NPI# 1215309562, PAC ID# 1254662463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215309562 |
| PAC ID by PECOS | 1254662463 |
| Professional Enrollment ID | I20191018000787 |
| Full Name | Matthew Mario Masciandaro |
| Organization Legal Name | SUFFOLK COUNTY PHYSICAL THERAPY P C |
| Address |
279 Larkfield Rd East Northport NY 11731-2415 |
| Phone Number | 6312621370 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9234308743 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 279 Larkfield Rd, East Northport, NY 11731-2415 | 6312621370 | SUFFOLK COUNTY PHYSICAL THERAPY P C |
| Organization Legal Name | SUFFOLK COUNTY PHYSICAL THERAPY P C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Gruhn | Physical Therapy | Suffolk County Physical Therapy P C | 279 Larkfield Rd, East Northport, NY 11731-2415 |
| Thomas Roger Poudrier | Physical Therapy | Suffolk County Physical Therapy P C | 279 Larkfield Rd, East Northport, NY 11731-2415 |
| Street Address |
279 LARKFIELD RD |
| City | EAST NORTHPORT |
| State | NY |
| Zip | 11731-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Gruhn | Physical Therapy | Suffolk County Physical Therapy P C | 279 Larkfield Rd, East Northport, NY 11731-2415 |
| Thomas Roger Poudrier | Physical Therapy | Suffolk County Physical Therapy P C | 279 Larkfield Rd, East Northport, NY 11731-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa J Schorn | Clinical Social Worker | 63 Tompkins St, East Northport, NY 11731-1043 | |
| Fred C Russo | Clinical Social Worker | 1023 Pulaski Rd, East Northport, NY 11731-1948 | |
| John R Wagner | Obstetrics/gynecology | Wgm Obstetrics and Gynecology,pc | 7 Pulaski Rd, East Northport, NY 11731-2442 |
| Mary E White | Nurse Practitioner | Wgm Obstetrics and Gynecology,pc | 7 Pulaski Rd, East Northport, NY 11731-2442 |
| Malgorzata K Mierzejewski | Nurse Practitioner | Wgm Obstetrics and Gynecology,pc | 7 Pulaski Rd, East Northport, NY 11731-2442 |
| Jennifer M Gallagher | Physical Therapy | Rom On The Run Physical Therapy PC | 290 Larkfield Rd, Unit B, East Northport, NY 11731-2444 |
| David W Fischer | Physical Therapy | Rom On The Run Physical Therapy PC | 290 Larkfield Rd, Unit B, East Northport, NY 11731-2444 |
| Michael J Flynn | Occupational Therapy | Deer Park Pt and Pta Physical Therapy and Rehabilitation Pllc | 10 Cheshire Pl, East Northport, NY 11731-2503 |
| Neil G Levin | Chiropractic | 10 Hewitt Sq, East Northport, NY 11731-2519 | |
| Dennis M Henderson | Psychologist, Clinical | 12 Gildare Dr, East Northport, NY 11731-3223 | |
| Find all physicians in zip 11731 | |||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EAST NORTHPORT + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.