Individual
PROF. SCOTT A ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2410
(212) 772-8521
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2410
(212) 772-8521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
203194
NY
207ZH0000X
Hematology (Pathology) Physician
Primary
203194
NY
Other
Enumeration date
06/07/2006
Last updated
05/15/2025
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