Provider Demographics
NPI:1750104709
Name:SCARFO, KATHRYN CARMELA (FNP)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:CARMELA
Last Name:SCARFO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 77TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2423
Mailing Address - Country:US
Mailing Address - Phone:917-968-8569
Mailing Address - Fax:
Practice Address - Street 1:1365 77TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2423
Practice Address - Country:US
Practice Address - Phone:917-968-8569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354773207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine