Provider Demographics
NPI:1578709663
Name:SCARMATO, NATALIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:SCARMATO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WASHINGTON SQ W APT 5F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9172
Mailing Address - Country:US
Mailing Address - Phone:212-358-1400
Mailing Address - Fax:917-398-1742
Practice Address - Street 1:31 WASHINGTON SQ W APT 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9172
Practice Address - Country:US
Practice Address - Phone:212-358-1400
Practice Address - Fax:917-398-1742
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2019-08-07
Deactivation Date:2009-02-24
Deactivation Code:
Reactivation Date:2016-05-10
Provider Licenses
StateLicense IDTaxonomies
NY0513631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice