Individual
AMANDA MARIE SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8024 STATE ROUTE 12, BARNEVELD, NY 13304-2512
(315) 896-3900
(315) 896-3905
Mailing address
8024 STATE ROUTE 12, BARNEVELD, NY 13304-2512
(315) 896-3900
(315) 896-3905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008266
NY
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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