Scott, Thomas J

Scott, Thomas J is an sole proprietor health care provider with primary practice located at 6700 Kirkville Rd Suite A, East Syracuse NY 13057-9305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Scott, Thomas J can be contacted via phone (315) 463-2013.

Contact Information

Primary practice address
6700 Kirkville Rd Suite A East Syracuse NY 13057-9305
Phone: (315) 463-2013
Fax: (315) 463-2019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 278939 New York

Profile Details

NPI number 1154583615
LBN Legal business name Scott, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2008
Last updated Mar 29th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154583615 NPPES
New York MEDICAID 04170018

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