Provider Demographics
NPI:1912380858
Name:SCARAMUZZINO, CARMELA MELANIE
Entity Type:Individual
Prefix:
First Name:CARMELA
Middle Name:MELANIE
Last Name:SCARAMUZZINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15134 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1516
Mailing Address - Country:US
Mailing Address - Phone:718-353-3459
Mailing Address - Fax:
Practice Address - Street 1:15134 26TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1516
Practice Address - Country:US
Practice Address - Phone:718-353-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst