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Individual

VIRGINIA L SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(845) 357-5775
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
22271
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
223189
NY

Other

Enumeration date
02/22/2007
Last updated
09/04/2012
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