Misty R L Scott, NP | |
177 Fort Washington Ave, New York, NY 10032-3733 | |
(212) 305-9564 | |
Not Available |
Full Name | Misty R L Scott |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 177 Fort Washington Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912503723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F346739 (New York) | Primary |
Entity Name | Trustees Of Columbia University In The City Of New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
Mailing Address | Practice Location Address |
---|---|
Misty R L Scott, NP 630 W 168th St # 4, New York, NY 10032-3725 Ph: (212) 342-5155 | Misty R L Scott, NP 177 Fort Washington Ave, New York, NY 10032-3733 Ph: (212) 305-9564 |
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