Provider Demographics
NPI:1437279296
Name:SCARSELLA, LINDA MARIE (MD)
Entity Type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:MARIE
Last Name:SCARSELLA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:656 NORTH WELLWOOD AVE
Mailing Address - Street 2:LASKY MEDICAL CENTER
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757
Mailing Address - Country:US
Mailing Address - Phone:631-225-1010
Mailing Address - Fax:631-225-1004
Practice Address - Street 1:656 NO WELLWOOD AVE
Practice Address - Street 2:LOUIS LASKY MEMORIAL MEDICAL AND DENTAL CENTER
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-1695
Practice Address - Country:US
Practice Address - Phone:631-225-1010
Practice Address - Fax:631-225-1004
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2010-04-20
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Provider Licenses
StateLicense IDTaxonomies
NY2199571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY111AK1Medicare ID - Type UnspecifiedEMPIRE
H79806Medicare UPIN