Individual
MRS. KRISTIN ELIZABETH SCAVUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 SUMMERFIELD DR, HOLTSVILLE, NY 11742-2500
(631) 294-4950
Mailing address
83 SUMMERFIELD DR, HOLTSVILLE, NY 11742-2500
(631) 294-4950
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
1211-7744
NY
376K00000X
Nurse's Aide
Primary
342903691209E
NY
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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