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Organization

SCOTT GINGOLD MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT I GINGOLD MD (SOLE PROPRIETOR)
(315) 422-6046
Entity
Organization

Contact information

Practice address
739 IRVING AVE, STE 660, SYRACUSE, NY 13210
(315) 422-6046
(315) 422-6365
Mailing address
739 IRVING AVE, STE 660, SYRACUSE, NY 13210
(315) 422-6046
(315) 422-6365

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
181243
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000920516001
HEALTH NOW
05
01649783
NY
01
140004361
RR MEDICARE
01
3000679
GHI
01
956130
MVP
Enumeration date
07/02/2008
Last updated
07/02/2008
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