Healthcare Provider Details

I. General information

NPI: 1194653477
Provider Name (Legal Business Name): PAULA SCALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 PHOEBE ST
FRANKLIN SQUARE NY
11010-1504
US

IV. Provider business mailing address

1112 PHOEBE ST
FRANKLIN SQUARE NY
11010-1504
US

V. Phone/Fax

Practice location:
  • Phone: 516-576-2040
  • Fax: 516-576-2131
Mailing address:
  • Phone: 516-576-2040
  • Fax: 516-576-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: