MEDICARE: DR. SUSAN CRAIG SCOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	124805	NY

General Provider Information

NPI Number	:	1093813438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN CRAIG SCOTT MD

Provider Business Mailing Address
First Line	:	210 E 64TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7471
Country	:	US
Telephone Number	:	646-293-7504
Fax Number	:	646-293-7502

Provider Business Practice Location Address
First Line	:	210 E 64TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7471
Country	:	US
Telephone Number	:	646-293-7504
Fax Number	:	646-293-7502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/29/2015

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