Individual
SCOTT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Mailing address
8 SCARLET MAPLE DR, SPENCERPORT, NY 14559-2064
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-5282
NY
Other
Enumeration date
10/27/2021
Last updated
10/09/2024
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