Provider Demographics
NPI:1457566226
Name:MUSCOLINO, DUCATO (DC)
Entity Type:Individual
Prefix:DR
First Name:DUCATO
Middle Name:
Last Name:MUSCOLINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 POST RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5512
Mailing Address - Country:US
Mailing Address - Phone:914-434-1237
Mailing Address - Fax:
Practice Address - Street 1:880 POST RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5512
Practice Address - Country:US
Practice Address - Phone:914-434-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007059-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX66182Medicare UPIN
NYX66181Medicare UPIN