Healthcare Provider Details

I. General information

NPI: 1851952212
Provider Name (Legal Business Name): ANTOINETTE MASE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANTOINETTE PINTO

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE STE 103
HEMPSTEAD NY
11550-8116
US

IV. Provider business mailing address

406 WALKER ST
WEST BABYLON NY
11704-3017
US

V. Phone/Fax

Practice location:
  • Phone: 516-464-0266
  • Fax:
Mailing address:
  • Phone: 516-993-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number687020
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF345004-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: