MEDICARE: DR. STEPHANIA ARADYA SCIAMANO ND

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	175F00000X	Naturopath	177	HI
2	175F00000X	Naturopath		CT

General Provider Information

NPI Number	:	1760642169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIA ARADYA SCIAMANO ND

Provider Business Mailing Address
First Line	:	145 LIBERTY ST
Second Line	:	C5
City	:	PAWCATUCK
State	:	CT
Zip	:	06379-1538
Country	:	US
Telephone Number	:	860-495-5691
Fax Number	:	860-495-5769

Provider Business Practice Location Address
First Line	:	145 LIBERTY ST
Second Line	:	C5
City	:	PAWCATUCK
State	:	CT
Zip	:	06379-1538
Country	:	US
Telephone Number	:	860-495-5691
Fax Number	:	860-495-5769

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

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	08/12/2016

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