MS. JILL MASTRANDREA MHC NPI 1912262312

NPI Information

MS. Jill Mastrandrea, MHC is an addiction (substance use disorder) counselor in Woodside, NY. MS. Jill Mastrandrea, MHC NPI is 1912262312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6207 WOODSIDE AVE
4TH FLOOR
WOODSIDE, NY
ZIP 11377-576
Phone: (718) 898-5085
Fax: (718) 898-5582

The NPI 1912262312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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