Individual
VANESSA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23301 131ST AVE, ROSEDALE, NY 11422-1220
(718) 810-2476
Mailing address
23301 131ST AVE, ROSEDALE, NY 11422-1220
(718) 810-2476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309301-01
NY
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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