Individual
JOHN SCALICI
Active
Individual
JOHN SCALICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0090391
NY
225100000X
Physical Therapist
Primary
2305204675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010344352
—
VA
01
—
192971
BCBS PHY THERAPY
VA
01
—
7500685
AETNA
VA
01
—
P00395282
RAILROAD MEDICARE
VA
Enumeration date
06/29/2006
Last updated
05/03/2018
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