Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 246069 | NY |
NPI | 1093962615 |
---|---|
Provider Name | Dr. Scott M Pregont |
First Address | Hudson, NY 12534-2000 |
Second Address | Hudson, NY 12534-3815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 08/07/2010 |