Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 259006 | NY |
Y | 207RH0003X | Hematology & Oncology | 60470 | GA |
NPI | 1013910660 |
---|---|
Provider Name | Dr. Deborah A Sculco |
First Address | Amsterdam, NY 12010-7520 |
Second Address | Amsterdam, NY 12010-7520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 30/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001319054 | (05) | CT |
03380458 | (05) | NY |
G04521 | (02) | CT |
J400068725 | (02) | NY |