Individual
DR. ALEJANDRO CESAR SCIAMMARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
155 3RD AVE, BAY SHORE, NY 11706-6636
(631) 968-1171
Mailing address
3 KIM PL, KINGS PARK, NY 11754-5025
(631) 544-0864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008787-1
NY
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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