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1407402126
MARIELLA R SCRUDATO
VALLEY STREAM, NY
NPI
1407402126
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Former Name
MARIELLA R BILELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024647)
Enumeration Date
2019-08-19
Last Update Date
2023-07-20
Business Address
MARIELLA R SCRUDATO PA-C
65 ROOSEVELT AVE
VALLEY STREAM, NY 11581-1151
Phone number: 516-622-3490
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Mailing Address
MARIELLA R SCRUDATO PA-C
65 ROOSEVELT AVE
VALLEY STREAM, NY 11581-1151
Phone number: 516-622-3490
Copy
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