Provider Demographics
NPI:1457958274
Name:SCARFOGLIERO, CAITLIN EILEEN (DPT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:EILEEN
Last Name:SCARFOGLIERO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BURLING LN S
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-3308
Mailing Address - Country:US
Mailing Address - Phone:845-325-9313
Mailing Address - Fax:
Practice Address - Street 1:14 BURLING LN S
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-3308
Practice Address - Country:US
Practice Address - Phone:845-325-9313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist