Healthcare Provider Details

I. General information

NPI: 1477468429
Provider Name (Legal Business Name): PAULA SCALISI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 EASTCHESTER RD
BRONX NY
10461-2392
US

IV. Provider business mailing address

47 WAYACROSS RD
MAHOPAC NY
10541-1251
US

V. Phone/Fax

Practice location:
  • Phone: 718-518-2010
  • Fax: 718-518-2675
Mailing address:
  • Phone: 718-518-2010
  • Fax: 718-518-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1400X
TaxonomyPain Management Pharmacist
License Number042296-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: