Mason Medical Practice Pllc

Family Medicine · Staten Island, NY

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At a glance

265 Mason Ave, Staten Island, NY 10305-3412

NPPES record updated May 26, 2025. Public records can lag behind changes at a practice.

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Practice location

265 Mason Ave
Staten Island, NY 10305-3412

Professional details: NPI, taxonomy & registry record

NPI1306639018

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Registry details

Primary taxonomy: Family Medicine
Taxonomy code: 207Q00000X
Enumeration date: May 26, 2025
Record updated: May 26, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

Cardiovascular Disease

207RC0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

265 Mason Ave
Staten Island, NY 10305-3412

Phone: (718) 887-2280
Fax: (718) 887-2277

Mailing address

948 TODT HILL RD

STATEN ISLAND, NY 103041318

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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