Individual
DR. PATRICK VINCENT SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.D.
Contact information
Practice address
4010 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-2155
(716) 646-9600
(716) 646-9603
Mailing address
6108 OLD LAKE SHORE RD, LAKEVIEW, NY 14085-9547
(716) 927-7175
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
211984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021621
—
NY
Enumeration date
05/06/2006
Last updated
10/22/2012
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