Doctor Name: | JAMES VINCENT MASONE |
NPI Number: | 1346290129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | X008311 |
Business Practice Address: | 29 Miller Woods Dr Miller Place, NY - 117641524 |
Business Phone Number: | 6314767330 |
Business Fax Number: | 6316429242 |
Mailing Address: | Po Box 5140, MILLER PLACE |
State: | NY |
Postal Code: | 117641104 |
Phone Number: | 6314767330 |
Fax Number: | 6316429242 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X008311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |