NPI 1013557263

Deneacer Massop

Practitioner Case Manager/Care Coordinator Covington, GA

Practice location

Address: 80 Brandon Dr, Covington, GA 30016-3333
Phone: (718) 807-5430
Mailing address: 8038 211th St, Queens Village, NY 11427-1013

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1013557263
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2020
Record last updated: 15 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.