Individual
JINEL ANGELA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
657 E 24TH ST, BROOKLYN, NY 11210-1131
(917) 273-2554
Mailing address
657 E 24TH ST, BROOKLYN, NY 11210-1131
(917) 273-2554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
237071-1
NY
2085R0202X
Diagnostic Radiology Physician
36118992
IL
2085R0202X
Diagnostic Radiology Physician
41415
KY
2085R0202X
Diagnostic Radiology Physician
Primary
MD037021
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118992
—
IL
05
—
102273260 0001
—
PA
05
—
1451266
—
LA
05
—
200273100A
—
OK
05
—
7100058590
—
KY
01
—
932T71
BCBS
IL
Enumeration date
07/05/2006
Last updated
04/05/2021
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