Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X3710-1 | NY |
NPI | 1588731814 |
---|---|
Provider Name | Dr. Daniel Charles Scutaro |
First Address | Mt. Sinai, NY 11766 |
Second Address | Commack, NY 11725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T52693 | (02) | NY |