Derco, Scott L
Derco, Scott L is an sole proprietor health care provider with primary practice located at 2044 Sunrise Hwy , Bay Shore NY 11706-6018. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Derco, Scott L can be contacted via phone (631) 666-9595.Contact Information
Primary practice address
2044 Sunrise Hwy
Bay Shore NY 11706-6018
Phone: (631) 666-9595
Fax: (631) 206-1968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | VUT-4532-1 | New York |
Profile Details
| NPI number | 1699899260 |
|---|---|
| LBN Legal business name | Derco, Scott L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 1st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699899260 | NPPES |
| New York | MEDICAID | 01964218 |
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