Healthcare Provider Details
I. General information
NPI: 1215081096
Provider Name (Legal Business Name): JOHN DANIEL SCINTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3680 HILL BLVD CAREMOUNT MEDICAL PC
JEFFERSON VALLEY NY
10535-1500
US
IV. Provider business mailing address
110 S BEDFORD RD CAREMOUNT MEDICAL PC
MOUNT KISCO NY
10549-3446
US
V. Phone/Fax
- Phone: 914-241-1050
- Fax: 914-248-2081
- Phone: 914-241-1050
- Fax: 914-248-2081
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207KA0200X |
| Taxonomy | Allergy Physician |
| License Number | 202276 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: