Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 191400 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 191400 | NY |
NPI | 1306886494 |
---|---|
Provider Name | John C Scott |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Mount Kisco, NY 10549-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 06/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01428202 | (05) | NY |
F65128 | (02) | NY |