Individual
MRS. SUSANNA M SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8 N OCEANSIDE RD, ROCKVILLE CENTRE, NY 11570-5122
(516) 536-4400
Mailing address
38 BOULDER LN, HICKSVILLE, NY 11801-4523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66006474
NY
Other
Enumeration date
08/30/2006
Last updated
07/09/2007
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