Individual
DR. THOMAS SCANDALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-3751
(516) 686-7890
Mailing address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-3751
(516) 686-7890
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
175161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750370037
NPI NUMBER
NY
01
—
1821048612
GROUP NPI NUMBER
NY
Enumeration date
10/19/2005
Last updated
06/30/2008
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