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Individual
MISS ROBERT SCOTT ELWELL
Active
Individual
MISS ROBERT SCOTT ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0022201
NY
207Q00000X
Family Medicine Physician
2220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010158803
UNIVERA
—
01
—
000560354003
COMMUNITY BLUE
—
01
—
0102767
INDEPENDENT HEALTH
—
01
—
0102974
IPA
—
05
—
01139986
—
NY
01
—
431989695
EMPIRE
—
01
—
MDH353
PREFERRED CARE
—
01
—
P010177372
BLUE CHOICE
NY
01
—
P020177372
EXCELLUS BCBS
NY
Enumeration date
09/29/2006
Last updated
07/03/2023
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