Individual
ELIZABETH SCUDERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 SUNRISE HWY, BAY SHORE, NY 11706-6027
(631) 968-0588
Mailing address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(516) 541-1064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021629-1
NY
Other
Enumeration date
03/15/2018
Last updated
09/26/2019
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