Healthcare Provider Details

I. General information

NPI: 1487691564
Provider Name (Legal Business Name): SCOTT R DARLING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 ELMWOOD AVE KENMORE MERCY HOSPITAL
KENMORE NY
14217-1304
US

IV. Provider business mailing address

160 FARBER HALL SUNY BUFFALO
BUFFALO NY
14214-8001
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-3200
  • Fax:
Mailing address:
  • Phone: 716-204-3200
  • Fax: 716-304-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number236352
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number236352
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: