Organization
SCOTT FORMAN, MD PC
Active
Parent organization
SCOTT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT
Authorized official
VERONICA CRUZ (OFFICE MANAGER)
(914) 277-5550
Entity
Organization
Contact information
Practice address
380 ROUTE 202, SOMERS, NY 10589-3222
(914) 277-5550
(914) 277-5735
Mailing address
380 ROUTE 202, SOMERS, NY 10589-3222
(914) 277-5550
(914) 277-5735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
155754-1
NY
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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