Individual
SCOTT VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(187) 226-6902
(718) 226-6844
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6902
(718) 226-6844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331991
NY
208M00000X
Hospitalist Physician
Primary
331991
NY
Other
Enumeration date
09/14/2020
Last updated
09/26/2024
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