Individual
MR. SCOTT REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21 KATHLEEN CRES, CORAM, NY 11727-1469
(631) 766-0534
Mailing address
21 KATHLEEN CRES, CORAM, NY 11727-1469
(631) 766-0534
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
002491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002491
NY STATE LICENSURE
NY
01
—
2000011183
BOC
—
Enumeration date
09/16/2020
Last updated
09/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us