Individual
DR. SAMUEL E SCADUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3768 SENECA STREET, WEST SENECA, NY 14224
(716) 674-8300
(716) 674-8302
Mailing address
3768 SENECA STREET, WEST SENECA, NY 14224
(716) 674-8300
(716) 674-8302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY4079
EYE MED
NY
01
—
U0390005002
CB
NY
Enumeration date
10/03/2006
Last updated
12/18/2007
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