Individual
JULIE L SCANDAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 COLUMBIA PL, MERRICK, NY 11566-4207
(516) 353-3008
Mailing address
2428 COLUMBIA PL, MERRICK, NY 11566-4207
(516) 353-3008
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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