Individual
DR. MICHAEL JOSEPH SCOTTO DI CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
373 LAKEVIEW AVE, ROCKVILLE CENTRE, NY 11570-3015
(917) 837-8303
(516) 764-2641
Mailing address
373 LAKEVIEW AVE, ROCKVILLE CENTRE, NY 11570-3015
(917) 837-8303
(516) 764-2641
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005032A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005820491
AETNA
NY
05
—
01635670
—
NY
01
—
480021593
RAILROAD MEDICARE
NY
01
—
6200984
GHI
NY
01
—
NPC38824
ELDERPLAN
NY
01
—
P411909-P745761
OXFORD
NY
01
—
P55512
EMPIRE
NY
Enumeration date
11/30/2006
Last updated
08/26/2025
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