Individual
MR. SCOTT L SCHUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, STE 300, MINEOLA, NY 11501
(516) 663-4400
(516) 663-4404
Mailing address
120 MINEOLA BLVD, STE 300, MINEOLA, NY 11501
(516) 663-4400
(516) 663-4404
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1855861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338449
—
NY
Enumeration date
11/07/2005
Last updated
03/25/2021
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