MARIELLA SCRUDATO, PA-C

Physician Assistant

Active Individual
NPI: 1407402126

Practice Address

65 ROOSEVELT AVE
Valley Stream, NY 11581

Phone: (516) 622-3490

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 024647 (NY)

Frequently Asked Questions

NPI 1407402126 is the National Provider Identifier for MARIELLA SCRUDATO, PA-C, a Physician Assistant provider located in Valley Stream, NY. This NPI was enumerated on August 19, 2019.
MARIELLA SCRUDATO, PA-C practices at 65 ROOSEVELT AVE, Valley Stream, NY 11581.

Quick Facts

NPI
1407402126
Type
Individual
Enumerated
Aug 19, 2019
Last Updated
Jul 20, 2023

Nearby Providers