Individual
SERITA SCULLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(914) 223-1700
Mailing address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
312094
NY
Other
Enumeration date
03/07/2025
Last updated
06/17/2025
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