Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 208276 | NY |
NPI | 1013918812 |
---|---|
Provider Name | Dr. Scott Mcwilliams |
First Address | Rocky Point, NY 11778 |
Second Address | Rocky Point, NY 11778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 29/08/2017 |