Individual
MR. SCOTT OWEN DOOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
316 E 77TH ST APT 4C, NEW YORK, NY 10075-2449
(518) 937-0130
Mailing address
316 E 77TH ST APT 4C, NEW YORK, NY 10075-2449
(518) 937-0130
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
685235
NY
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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