Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 202276 | NY |
NPI | 1215081096 |
---|---|
Provider Name | John Daniel Scinto |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Jefferson Valley, NY 10535-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 15/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01669070 | (05) | NY |