Individual
LORETTA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 CASTLETON AVE, STATEN ISLAND, NY 10301-2709
(718) 447-7800
Mailing address
99 LEVERETT AVE, STATEN ISLAND, NY 10308-1724
(718) 948-0138
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302486-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340378-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951055
—
NY
Enumeration date
01/10/2006
Last updated
03/09/2009
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