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Individual

MR. JANSON S SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHTA

Contact information

Practice address
8620 18TH AVE, BROOKLYN, NY 11214-3702
(718) 256-8818
(718) 234-2314
Mailing address
8620 18TH AVE, BROOKLYN, NY 11214-3702
(718) 256-8818
(718) 234-2314

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
09/21/2021
Last updated
09/21/2021
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