Individual
DR. SCOTT ALLEN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-6939
(212) 305-1145
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-6939
(212) 305-1145
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
193749
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712861
—
NY
Enumeration date
12/20/2006
Last updated
07/08/2007
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