Individual
SCOTT J SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 277-4926
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 277-4926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
284486-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
284486-1
NY
Other
Enumeration date
03/13/2008
Last updated
12/20/2024
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