Individual
SCOTT RODEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1513
(212) 774-2414
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1513
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
183235
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
183235
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673578
—
NY
Enumeration date
07/13/2006
Last updated
03/25/2021
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