Healthcare Provider Details

I. General information

NPI: 1265060677
Provider Name (Legal Business Name): SAMAE SEKEEMA SIHOMA SCOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-5735
  • Fax: 518-262-5743
Mailing address:
  • Phone: 518-262-5735
  • Fax: 518-262-5743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD488421
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: