Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stefano Michael Vassallo, MSED

Individual provider Specialist · NPI 1124373600

Mr. Stefano Michael Vassallo, MSED is a Specialist in Dix Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

5 Lyric Pl
Dix Hills, NY 11746-7819
Phone: (631) 425-2684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1124373600
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012

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