Wodicka, Scott Christopher

Wodicka, Scott Christopher is an individual health care provider with primary practice located at 15 Park Ave , Bay Shore NY 11706-7381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wodicka, Scott Christopher can be contacted via phone (631) 581-4400.

Contact Information

Primary practice address
15 Park Ave Bay Shore NY 11706-7381
Phone: (631) 581-4400
Fax: (631) 277-3750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 214088 New York

Profile Details

NPI number 1871539205
LBN Legal business name Wodicka, Scott Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 20th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871539205 NPPES
New York Other 214088 LICENSE

Popular Providers