Individual
MICHAEL ROBERT SCOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
173 MINEOLA BLVD, SUITE 401A, MINEOLA, NY 11501-2528
(516) 746-2212
(516) 746-3231
Mailing address
173 MINEOLA BLVD, SUITE 401A, MINEOLA, NY 11501-2528
(516) 746-2212
(516) 746-3231
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
257035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03281761
—
NY
Enumeration date
07/22/2009
Last updated
09/19/2022
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