Individual
MR. MICHAEL VINCENT SCALA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
32 CEDAR AVENUE EXT, ISLIP, NY 11751-4616
(516) 625-1014
Mailing address
3781 CRANBERRY LN, SHRUB OAK, NY 10588-1045
(914) 424-9771
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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