Individual
DR. ROBERT F. SCANLON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
(631) 351-3694
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
(631) 351-3694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
181715
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
181715-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01419167
—
NY
Enumeration date
07/31/2006
Last updated
06/30/2020
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