Individual
DR. PASQUALE SCUTARI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7334 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2657
(315) 458-8680
(315) 458-2786
Mailing address
516 E GENESEE ST, FAYETTEVILLE, NY 13066-1537
(315) 637-4476
(315) 637-1261
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045842-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01952107
—
NY
Enumeration date
11/07/2006
Last updated
01/02/2019
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