Vicki Kumari Masson, MD | |
4 Technology Dr, East Setauket, NY 11733-4080 | |
(631) 444-4601 | |
Not Available |
Full Name | Vicki Kumari Masson |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 4 Technology Dr, East Setauket, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598101180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A141922 (California) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 301464-01 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
---|---|
Vicki Kumari Masson, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 741-0549 | Vicki Kumari Masson, MD 4 Technology Dr, East Setauket, NY 11733-4080 Ph: (631) 444-4601 |
Payal R Anand, Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-5437 | |
Dr. Saiqa Haque Nabi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr Ste 250, East Setauket, NY 11733 Phone: 631-444-4601 | |
Dr. Stuart Marc Holzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, Suite 250, East Setauket, NY 11733 Phone: 631-444-4601 Fax: 631-444-4990 | |
Julie Cherian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4660 | |
Michelle Tobin, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Technology Drive, East Setauket, NY 11733 Phone: 631-444-4601 Fax: 631-444-4990 | |
Dr. Latha Chandran, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4601 | |
Dr. Shelly Beth Waldman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, East Setauket, NY 11733 Phone: 631-444-0650 |