Individual
SCOTT DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
580 BROADWAY, NEW YORK, NY 10012-3223
(800) 331-1303
Mailing address
580 BROADWAY, NEW YORK, NY 10012-3223
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
281793
NY
Other
Enumeration date
08/19/2018
Last updated
02/08/2023
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