Individual
JOHN C SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-2773
Mailing address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-2773
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
191400
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
191400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01428202
—
NY
Enumeration date
06/07/2006
Last updated
08/06/2016
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