Individual
JOHN WILLIAM SCANDURRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404399
NY
Other
Enumeration date
08/25/2022
Last updated
07/03/2023
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