Individual
DR. MARY SCIUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
635 W 165TH ST, INTENSIVE OUTPATIENT PROGRAM - EI 4TH FLOOR, NEW YORK, NY 10032-3724
(212) 305-9758
(212) 305-4724
Mailing address
622 W 168TH ST, BOX 260, NEW YORK, NY 10032-3720
(212) 305-2330
(212) 305-4724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
177674
NY
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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