IndividualActive
Adelaide Masakayan, M.D.
NPI 1902970577 · Pediatrics Physician · Port Jefferson Station, NY
Provider details
- NPI number
- 1902970577
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 210204 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone: (631) 209-2827
Fax: (631) 209-2829
Approximate (ZIP-level) locationGet directions
Mailing address
112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.