Individual
MR. SCOTT SALVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04120
NYS LICENSE
NY
Enumeration date
09/01/2010
Last updated
06/13/2011
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