Individual provider · Type 1 NPI
Theresa Scolaro, PA
Surgical Physician Assistant · Locust Valley, NY
NPI number
1508116369
Active
Practice location
40 Laurel Ln
Locust Valley, NY 11560-2204
Mailing address
833 Northern Blvd, Suite 160
Great Neck, NY 11021-5315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 015759 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1508116369
Theresa Scolaro, PA's National Provider Identifier is 1508116369, issued on Sep 19, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Locust Valley, NY. The record was last updated on Jan 28, 2015.