Individual
KIM M SCARPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1989
(631) 852-3966
Mailing address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1989
(631) 852-3966
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007640-1
NY
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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