Scandiffio, Catherine Carmela

Scandiffio, Catherine Carmela is an individual health care provider with primary practice located at 601 Suffolk Ave , Brentwood NY 11717-4309. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Scandiffio, Catherine Carmela can be contacted via phone (631) 231-4455.

Contact Information

Primary practice address
601 Suffolk Ave Brentwood NY 11717-4309
Fax: (631) 434-1728
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T006245-1 New York

Profile Details

NPI number 1194707570
LBN Legal business name Scandiffio, Catherine Carmela
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 23rd, 2012 - about 12 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 1194707570 NPPES
New York MEDICAID 2423274

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