Individual provider · Type 1 NPI

Stefano Michael Vassallo, MSED

Specialist · Dix Hills, NY

NPI number 1124373600 Active

Practice location

5 Lyric Pl
Dix Hills, NY 11746-7819

Call (631) 425-2684 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124373600

Stefano Michael Vassallo, MSED's National Provider Identifier is 1124373600, issued on Jul 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dix Hills, NY. The record was last updated on Jul 19, 2012.