Provider Demographics
NPI:1376701292
Name:SCUDERI, STEPHANIE L (RN MS)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:L
Last Name:SCUDERI
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Gender:F
Credentials:RN MS
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Mailing Address - Street 1:107 NOTT TERRACE SUITE 304
Mailing Address - Street 2:SCHENECTADY COUNTY PUBLIC HEALTH SERVICES
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308
Mailing Address - Country:US
Mailing Address - Phone:518-386-2824
Mailing Address - Fax:518-382-5418
Practice Address - Street 1:107 NOTT TER STE 304
Practice Address - Street 2:SCHENECTADY COUNTY PUBLIC HEALTH SERVICES
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3170
Practice Address - Country:US
Practice Address - Phone:518-386-2824
Practice Address - Fax:518-382-5418
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
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Provider Licenses
StateLicense IDTaxonomies
NY2654731163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health