Individual
JENNIFER SCARLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1231 DEER PARK AVE, NORTH BABYLON, NY 11703-3104
(631) 667-0388
(631) 968-7705
Mailing address
47 PARK ST, KINGS PARK, NY 11754-2510
(631) 764-2497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010951
NY
Other
Enumeration date
11/06/2006
Last updated
01/05/2024
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