Individual
MR. PHILIP JOSEPH SCUDERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3636 33RD ST, 500, LONG ISLAND CITY, NY 11106-2329
(212) 589-1213
Mailing address
3636 33RD ST, 500, LONG ISLAND CITY, NY 11106-2329
(212) 589-1213
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
006019-1
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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