Provider Demographics
NPI:1598988537
Name:GOLDEN-SCADUTO, CAROL JANE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:JANE
Last Name:GOLDEN-SCADUTO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:JANE
Other - Last Name:GOLDEN-SCADUTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:211 E 53RD ST
Mailing Address - Street 2:SUITE 2AB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4803
Mailing Address - Country:US
Mailing Address - Phone:212-319-1914
Mailing Address - Fax:212-319-1914
Practice Address - Street 1:211 E 53RD ST
Practice Address - Street 2:SUITE 2AB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4803
Practice Address - Country:US
Practice Address - Phone:212-319-1914
Practice Address - Fax:212-319-1914
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010303103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV67612Medicare ID - Type Unspecified