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Individual

MICHAEL SCOTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
372 MANOR RD, STATEN ISLAND, NY 10314-2958
(718) 816-8634
(718) 816-8664
Mailing address
372 MANOR RD, STATEN ISLAND, NY 10314-2958
(718) 816-8634
(718) 816-8664

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005621
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02000333
NY
05
03335595
NY
01
2000159000004
CIGNA
NY
Enumeration date
08/29/2006
Last updated
05/13/2016
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