Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 044891 | NY |
Y | 213EG0000X | General Practice | 044891 | NY |
NPI | 1003028838 |
---|---|
Provider Name | Dr. Joseph F Sciotto |
First Address | Jamesport, NY 11947-2010 |
Second Address | Jamesport, NY 11947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |