Provider Demographics
NPI:1093134280
Name:SCIOLTO, JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:SCIOLTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 TEMPLE DR
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3150
Mailing Address - Country:US
Mailing Address - Phone:516-506-5586
Mailing Address - Fax:
Practice Address - Street 1:1673 TEMPLE DR
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3150
Practice Address - Country:US
Practice Address - Phone:516-506-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY566731-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse