Provider Demographics
NPI:1366690976
Name:SCALFANI, JOSEPHINE MARY (RN)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:MARY
Last Name:SCALFANI
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 1:7 MELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5610
Mailing Address - Country:US
Mailing Address - Phone:631-543-0610
Mailing Address - Fax:
Practice Address - Street 1:7 MELWOOD DR
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5610
Practice Address - Country:US
Practice Address - Phone:631-543-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY563579-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse