Kelly Wenzel Scicutella, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Manhasset, NY

NPI

1801219514

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

017346 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2014-01-31

Last updated

2022-06-09