Individual
DR. CATHERINE CARMELA SCANDIFFIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 434-1728
Mailing address
266 PERIMETER ST, HOLBROOK, NY 11741-3822
(631) 648-0934
(631) 434-1728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006245-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2423274
—
NY
Enumeration date
11/18/2005
Last updated
05/23/2012
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