Scudamore, Trevor James Harry

Scudamore, Trevor James Harry is an sole proprietor health care provider with primary practice located at 830 Washington St , Watertown NY 13601-4034. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Scudamore, Trevor James Harry can be contacted via phone (315) 786-4955.

Contact Information

Primary practice address
830 Washington St Watertown NY 13601-4034
Phone: (315) 786-4955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 309450 New York

Profile Details

NPI number 1922538990
LBN Legal business name Scudamore, Trevor James Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2017
Last updated Jun 15th, 2021 - about 4 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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