Individual
SOPHIA DONATA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5555
Mailing address
904 JENA CT, WEST HEMPSTEAD, NY 11552-4015
(516) 244-8165
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431592-01
NY
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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