Individual
DR. SCOTT IRA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8255
(607) 324-8774
Mailing address
7 ERIE AVE, HORNELL, NY 14843-1909
(607) 324-8255
(607) 324-8774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
227927-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11546388
CAQH
NY
Enumeration date
05/22/2006
Last updated
05/08/2008
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