| Doctor Name: | MR. JASON VINCENT MASTROPAOLO |
| NPI Number: | 1023249414 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 077168 |
| Business Practice Address: | 2094 Albany Post Rd Va Hudson Valley Health Care System Montrose, NY - 105481454 |
| Business Phone Number: | 9147374400 |
| Business Fax Number: | 9147884286 |
| Mailing Address: | 2094 Albany Post Rd, Va Hudson Valley Health Care System MONTROSE |
| State: | NY |
| Postal Code: | 105481454 |
| Phone Number: | 9147374400 |
| Fax Number: | 9147884286 |
| NPI Enumeration Date: | 08/03/2009 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 077168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |