Individual
MARISA SCANDOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 KERRIGAN ST, LONG BEACH, NY 11561-2520
(516) 754-5278
Mailing address
88 KERRIGAN ST, LONG BEACH, NY 11561-2520
(516) 754-5278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2016
Last updated
06/20/2019
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