Individual
ANDRIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 ROCKY GLEN RD, BEACON, NY 12508-1044
(845) 204-4494
Mailing address
PO BOX 2665, NEWBURGH, NY 12550-0886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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