Individual
MR. EDWARD JOSEPH SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
690 W GERMAN ST, HERKIMER, NY 13350-2135
(315) 866-3330
(315) 866-6546
Mailing address
407 1ST AVENUE EXT, FRANKFORT, NY 13340-3516
(315) 866-3330
(315) 866-6546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005642-1
NY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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