| Doctor Name: | MR. TERRY MCMASTER |
| NPI Number: | 1285094870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 088841 |
| Business Practice Address: | 5700 W Genesee St Suite 118 Camillus, NY - 130313200 |
| Business Phone Number: | 3154881641 |
| Business Fax Number: | 3154881655 |
| Mailing Address: | 5700 W. Genesee St., Suite 118 CAMILLUS |
| State: | NY |
| Postal Code: | 130313200 |
| Phone Number: | 3154881641 |
| Fax Number: | 3154881655 |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 088841 |
| 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 |