Healthcare Provider Details

I. General information

NPI: 1023344611
Provider Name (Legal Business Name): GUTHRIE CLINIC LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9768 LIBERTY DR
PAINTED POST NY
14870-9094
US

IV. Provider business mailing address

1 GUTHRIE SQ
SAYRE PA
18840-1625
US

V. Phone/Fax

Practice location:
  • Phone: 607-937-4900
  • Fax: 607-937-4940
Mailing address:
  • Phone: 570-888-5858
  • Fax: 570-882-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH A SCOPELLITI
Title or Position: PRESIDENT
Credential: MD
Phone: 570-888-5858