Individual
MRS. ERIN MARY SCANSAROLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
287 CHARLES AVE, MASSAPEQUA PK, NY 11762-1802
(516) 273-1476
Mailing address
287 CHARLES AVE, MASSAPEQUA PK, NY 11762-1802
(516) 273-1476
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 307985
NY
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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