MEDICARE: ANDREA MASSABINI LCSW

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	104100000X	Social Worker	P75348	NY

General Provider Information

NPI Number	:	1730340795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MASSABINI LCSW

Provider Business Mailing Address
First Line	:	485 SUNSET DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-4231
Country	:	US
Telephone Number	:	716-572-2548
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 SUNSET DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-4231
Country	:	US
Telephone Number	:	716-572-2548
Fax Number	:

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

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	07/03/2024

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