Scalise, Diane M

Scalise, Diane M is an individual health care provider with primary practice located at 1450 Champlin Ave , Utica NY 13502-3662. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Scalise, Diane M can be contacted via phone (615) 624-9000.

Contact Information

Primary practice address
1450 Champlin Ave Utica NY 13502-3662
Phone: (615) 624-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 301408 New York

Profile Details

NPI number 1790776268
LBN Legal business name Scalise, Diane M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790776268 NPPES
New York MEDICAID 02328581

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