Individual
HENCY SCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.,
Contact information
Practice address
355 OVINGTON AVE, SUITE 203, BROOKLYN, NY 11209-1483
(718) 759-0109
(718) 759-0101
Mailing address
355 OVINGTON AVE, SUITE 203, BROOKLYN, NY 11209-1483
(718) 759-0109
(718) 759-0101
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
F303384
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02621281
—
NY
Enumeration date
07/20/2006
Last updated
05/02/2016
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