Individual
DR. ERIC THOMAS SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 OLD COUNTRY ROAD, SUITE 16, RIVERHEAD, NY 11901-2145
(631) 574-3419
(631) 727-8110
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
239950
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239950
NYS LICENSE
NY
01
—
P00972097
RAILROAD MEDICARE PIN
NY
Enumeration date
05/02/2006
Last updated
04/04/2019
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