MEDICARE: MR. VINCENT SCARCELLA M.S.,P.T

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	225100000X	Physical Therapist	020852	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020852	OTHER	NY	HIP PROVIDER NMBER
2	173727	OTHER	NY	ELDERPLAN PROVIDER NUMBER
3	6698040	OTHER	NY	GHI PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	270045	OTHER	NY	WELLCARE PROVIDER NUMBER
6	5507337	OTHER	NY	CIGNA PPO PROVIDER NUMBER

General Provider Information

NPI Number	:	1518186766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VINCENT SCARCELLA M.S.,P.T

Provider Business Mailing Address
First Line	:	4532 BEACH 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4532 BEACH 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1002
Country	:	US
Telephone Number	:	718-666-8515
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	10/21/2009

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Directions to “ MR. VINCENT SCARCELLA M.S.,P.T” Practice Location

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