Individual
PETER P SCALICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4 COUGHLAN AVE, STATEN ISLAND, NY 10310-3122
(718) 273-1451
(718) 273-1451
Mailing address
4 COUGHLAN AVE, STATEN ISLAND, NY 10310-3122
(718) 273-1451
(718) 273-1451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
002444
NY
213E00000X
Podiatrist
Primary
N004168
NY
Other
Enumeration date
10/02/2006
Last updated
04/28/2008
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