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Individual

THERESA SCOLARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
40 LAUREL LN, LOCUST VALLEY, NY 11560-2204
(516) 238-2097
Mailing address
833 NORTHERN BLVD, SUITE 160, GREAT NECK, NY 11021-5315
(516) 238-2097

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015759
NY

Other

Enumeration date
09/19/2012
Last updated
01/28/2015
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