Individual
DR. MARY JEAN SCOURBOUTAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8775
(845) 633-5766
Mailing address
107 HOMESTEAD RD., TORONTO, ONTARIO M1E 3-S1
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
335325
NY
Other
Enumeration date
04/13/2023
Last updated
07/23/2025
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