Provider Demographics
NPI:1215220769
Name:SCEUSA LAMIA MD LLC
Entity Type:Organization
Organization Name:SCEUSA LAMIA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCEUSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-370-7700
Mailing Address - Street 1:1550 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1510
Mailing Address - Country:US
Mailing Address - Phone:718-370-7700
Mailing Address - Fax:
Practice Address - Street 1:1550 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1510
Practice Address - Country:US
Practice Address - Phone:718-370-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty