Organization
SCOTT GINGOLD MD
Active
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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