Provider Demographics
NPI:1275765471
Name:SKARULIS, CATHERINE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:SKARULIS
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:213 HALLOCK RD STE 4A
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-3000
Mailing Address - Country:US
Mailing Address - Phone:631-762-9910
Mailing Address - Fax:631-675-9238
Practice Address - Street 1:213 HALLOCK RD STE 4A
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-3000
Practice Address - Country:US
Practice Address - Phone:631-762-9910
Practice Address - Fax:631-675-9238
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2023-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0397501223P0221X
NY039501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry