Provider Demographics
NPI:1689829145
Name:SCALISE-ANNIS, MARY (MA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:SCALISE-ANNIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 FOREST VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569
Mailing Address - Country:US
Mailing Address - Phone:845-635-2109
Mailing Address - Fax:
Practice Address - Street 1:M H R H PRESCHOOL AND EARLY INTERVENTION CENTER
Practice Address - Street 2:241 NORTH RD ; SUITE 400A
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1749
Practice Address - Country:US
Practice Address - Phone:845-431-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist