Provider Demographics
NPI:1609170240
Name:SCAMPOLI, JAMES NICHOLAS (MS OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:NICHOLAS
Last Name:SCAMPOLI
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:74 PYE LN
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3626
Mailing Address - Country:US
Mailing Address - Phone:845-297-2595
Mailing Address - Fax:914-373-3825
Practice Address - Street 1:1392 ALBANY POST ROAD
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10522
Practice Address - Country:US
Practice Address - Phone:914-816-8969
Practice Address - Fax:914-373-3825
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY63-016144174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist