MEDICARE: PAUL MICHAEL SCARPATI MS, OTRL, ATP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	014131	NY

General Provider Information

NPI Number	:	1205056397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MICHAEL SCARPATI MS, OTRL, ATP

Provider Business Mailing Address
First Line	:	PO BOX 9
Second Line	:	RONDOUT VALLEY CENTRAL SCHOOL DISTRICT
City	:	ACCORD
State	:	NY
Zip	:	12404-0009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 KYSERIKE RD
Second Line	:	RONDOUT VALLEY CENTRAL SCHOOL DISTRICT
City	:	ACCORD
State	:	NY
Zip	:	12404
Country	:	US
Telephone Number	:	845-687-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	03/07/2014

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