Individual
SCOTT PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 378-9962
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 727-1671
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
NY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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