Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 2802661 | NY |
N | 207QS0010X | Family Doctor - Sports Medicine | 54254 | CT |
NPI | 1184948077 |
---|---|
Provider Name | Dr. Daphne Amanda Scott |
First Address | New York, NY 10021-4823 |
Second Address | New York, NY 10021-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2010 |
Last Update Date | 20/04/2021 |