Individual
CHARLES SCIOSCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(914) 374-3192
Mailing address
PO BOX 468, HASTINGS ON HUDSON, NY 10706-0468
(914) 374-3192
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
161668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01467174
—
NY
Enumeration date
10/03/2006
Last updated
01/16/2024
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