MEDICARE: SEAN MATTHEW MASCARENHAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	044887	NY

General Provider Information

NPI Number	:	1558911941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN MATTHEW MASCARENHAS

Provider Business Mailing Address
First Line	:	1505 ROUTE 52
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-1629
Country	:	US
Telephone Number	:	845-896-3750
Fax Number	:	845-896-5728

Provider Business Practice Location Address
First Line	:	1505 ROUTE 52
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-1629
Country	:	US
Telephone Number	:	845-896-3750
Fax Number	:	845-896-5728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2019
Last Update Date	:	05/27/2026

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Directions to “ SEAN MATTHEW MASCARENHAS ” Practice Location

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