Individual
JOHN ROBERT SCRANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 EAST MAIN ST., SOUTHSIDE HOSPITAL-DEPT. OF EMERGENCY MEDICINE, BAY SHORE, NY 11706
(631) 968-3314
Mailing address
301 EAST MAIN ST., SOUTHSIDE HOSPITAL-DEPT. OF EMERGENCY MEDICINE, BAY SHORE, NY 11706
(631) 968-3314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
176902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682864
—
NY
Enumeration date
11/13/2006
Last updated
12/10/2008
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