Individual provider · Type 1 NPI

Masayo Douglas

Specialist · Fresh Meadows, NY

NPI number 1467333229 Active

Practice location

6725 188th St
Fresh Meadows, NY 11365-3767

Mailing address

214 Green St Apt 2B
Brooklyn, NY 11222-1948

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 1467333229

Masayo Douglas's National Provider Identifier is 1467333229, issued on Sep 9, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 9, 2025.