Individual
PATRICIA SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
12 RIMLET DR, COMMACK, NY 11725-1931
(631) 848-8640
Mailing address
12 RIMLET DR, COMMACK, NY 11725-1931
(631) 848-8640
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
NY
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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