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Organization

LORETTA SCOTT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORETTA SCOTT NP (PRESIDENT)
(718) 948-0138
Entity
Organization

Contact information

Practice address
99 LEVERETT AVE, STATEN ISLAND, NY 10308-1724
(718) 948-0138
Mailing address
99 LEVERETT AVE, STATEN ISLAND, NY 10308-1724
(718) 948-0138

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
302486
NY

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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