Individual
SCOTT A BIASETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-5918
(518) 926-5917
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-5918
(518) 926-5917
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
196625
NY
208M00000X
Hospitalist Physician
Primary
196625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01515246
—
NY
01
—
P00386585
RR MEDICARE
NY
Enumeration date
02/16/2006
Last updated
06/05/2012
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