Provider Demographics
NPI:1750719456
Name:SCALES, RONALD
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:SCALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9721 MILL ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13316-6110
Mailing Address - Country:US
Mailing Address - Phone:315-832-2215
Mailing Address - Fax:315-234-3405
Practice Address - Street 1:9721 MILL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316-6110
Practice Address - Country:US
Practice Address - Phone:315-832-2215
Practice Address - Fax:315-234-3405
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide