| Doctor Name: | DR. JOE SCROPPO |
| NPI Number: | 1083698161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 013277 |
| Business Practice Address: | 609 Peninsula Blvd Woodmere, NY - 115982834 |
| Business Phone Number: | 5167911438 |
| Business Fax Number: | 8004419772 |
| Mailing Address: | 609 Peninsula Blvd, WOODMERE |
| State: | NY |
| Postal Code: | 115982834 |
| Phone Number: | 5167911438 |
| Fax Number: | 8004419772 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 013277 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |