Individual
DR. SAMUEL E SCADUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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