Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | F340405-1 | NY |
NPI | 1073575452 |
---|---|
Provider Name | Ms. Frances X Scotto |
First Address | Brooklyn, NY 11228-3707 |
Second Address | New York, NY 10010-5011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 13/07/2007 |