Individual
DR. GREGG RONALD SCUDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5912 FLATLANDS AVE, BROOKLYN, NY 11234-1808
(718) 444-8500
(718) 444-8505
Mailing address
5912 FLATLANDS AVE, BROOKLYN, NY 11234-1808
(718) 444-8500
(718) 444-8505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0069801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C069809W
WORKERS COMP
—
Enumeration date
12/23/2005
Last updated
02/26/2009
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