Individual
CONNIE S SCARPINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
152 FOOTE AVE, JAMESTOWN, NY 14701
(716) 664-5290
(716) 664-7630
Mailing address
152 FOOTE AVE, JAMESTOWN, NY 14701
(716) 664-5290
(716) 664-7630
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027312101
UNIVERA PROVIDER NUMBER
NY
01
—
000570561001
BC WESTERN NY PROVIDER #
NY
01
—
9513022
INDEPENDENT HEALTH
NY
Enumeration date
12/28/2005
Last updated
12/12/2018
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