Michael J Mastrototaro Valid NPI
Individual provider · Clinical Social Worker · Queens Village, NY
- NPI
- 1902313703
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 077802 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-01-03
- Last updated
- 2018-01-03
Practice location
7925 Winchester Blvd
Queens Village, NY 11427-2128
(212) 264-4067