Healthcare Provider Details

I. General information

NPI: 1427284496
Provider Name (Legal Business Name): SCOTT LAURENCE SAINT-AMOUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COMMACK RD STE F150
COMMACK NY
11725-5020
US

IV. Provider business mailing address

500 COMMACK RD UNIT 150F
COMMACK NY
11725-5009
US

V. Phone/Fax

Practice location:
  • Phone: 631-499-4114
  • Fax: 631-499-1468
Mailing address:
  • Phone: 516-532-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number291843-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: