Individual
PHYA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 HALL ST, BROOKLYN, NY 11205-5001
(646) 338-2725
Mailing address
350 E 19TH ST APT 3H, BROOKLYN, NY 11226-5880
(646) 338-2725
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
22SC1075360
NY
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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