| Doctor Name: | MRS. DENISE MASSARO |
| NPI Number: | 1144514779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. N |
| License Number: | 640783-1 |
| Business Practice Address: | 14 Glenmere Ln Coram, NY - 117271424 |
| Business Phone Number: | 6318282761 |
| Business Fax Number: | |
| Mailing Address: | 14 Glenmere Ln, CORAM |
| State: | NY |
| Postal Code: | 117271424 |
| Phone Number: | 6318282761 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2011 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 640783-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |