Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 051440 | NY |
NPI | 1124240916 |
---|---|
Provider Name | Scott H Froum |
First Address | New York, NY 10022-2021 |
Second Address | New York, NY 10022-2021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 13/11/2013 |