Provider Demographics
NPI:1083660260
Name:MONTALBANO SCORZELLI, MARIA D (PA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:D
Last Name:MONTALBANO SCORZELLI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:519W JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2619
Mailing Address - Country:US
Mailing Address - Phone:631-360-5900
Mailing Address - Fax:631-360-9403
Practice Address - Street 1:465 BLUE POINT RD
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1839
Practice Address - Country:US
Practice Address - Phone:631-732-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2015-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY005693363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant