Healthcare Provider Details

I. General information

NPI: 1386657997
Provider Name (Legal Business Name): SCOTT I AFRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GRAND CONCOURSE
BRONX NY
10457-7606
US

IV. Provider business mailing address

688 WHITE PLAINS RD
SCARSDALE NY
10583-5059
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-1443
  • Fax:
Mailing address:
  • Phone: 914-725-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number174030
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number174030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: