Provider Demographics
NPI:1205056397
Name:SCARPATI, PAUL MICHAEL (MS, OTRL, ATP)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MICHAEL
Last Name:SCARPATI
Suffix:
Gender:M
Credentials:MS, OTRL, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:RONDOUT VALLEY CENTRAL SCHOOL DISTRICT
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:122 KYSERIKE RD
Practice Address - Street 2:RONDOUT VALLEY CENTRAL SCHOOL DISTRICT
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404
Practice Address - Country:US
Practice Address - Phone:845-687-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014131225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist