Individual
FRED PATRICK SCIALABBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
454 GLEN ST, GFH NEUROSURGERY & SPINE, GLENS FALLS, NY 12801-2974
(518) 793-8160
(518) 793-8709
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 793-8160
(518) 793-8709
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
140140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01061701
—
NY
01
—
P00894388
RR MEDICARE
NY
Enumeration date
10/31/2005
Last updated
06/05/2012
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