Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 3476 | SC |
Y | 111NN0400X | Neurology | X007309 | NY |
N | 111NN1001X | Nutrition | 3476 | SC |
N | 111NN1001X | Nutrition | X007309 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | 3476 | SC |
N | 111NR0400X | Rehabilitation Chiropractor | X007309 | NY |
N | 111NS0005X | Chiropractic Sports Physician | 3476 | SC |
N | 111NS0005X | Chiropractic Sports Physician | X007309 | NY |
NPI | 1366784183 |
---|---|
Provider Name | Dr. L Scott Pisciotti |
First Address | Somers, NY 10589-1225 |
Second Address | Somers, NY 10589-1225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2013 |
Last Update Date | 10/01/2017 |