Individual
SUSAN A SCAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 650, MINEOLA, NY 11501-4235
(516) 747-0105
(516) 280-2612
Mailing address
200 OLD COUNTRY RD, SUITE 650, MINEOLA, NY 11501-4235
(516) 747-0105
(516) 280-2612
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2059971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010205997NY01
ANTHEM
NY
01
—
0407961
GHI
NY
01
—
160048628
RR MEDICARE
NY
01
—
1912086
UNITED HEALTHCARE
NY
01
—
2185065
AETNA HNO
NY
01
—
262689012
HORIZON
NY
01
—
2C8532
PHS (HEALTHNET)
NY
01
—
5009001003
CIGNA
NY
01
—
50Z161
EMPIRE PLAN
NY
01
—
5662762
AETNA PPO/POS
NY
01
—
71560
GHI HMO
NY
01
—
NS0003502
SELECT PRO
NY
01
—
P1297217
OXFORD
NY
Enumeration date
08/30/2006
Last updated
08/17/2008
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