Healthcare Provider Details

I. General information

NPI: 1184619769
Provider Name (Legal Business Name): SCOTT L BARRETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1618
US

IV. Provider business mailing address

211 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1618
US

V. Phone/Fax

Practice location:
  • Phone: 585-475-8700
  • Fax: 585-475-9411
Mailing address:
  • Phone: 585-475-8700
  • Fax: 585-475-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number1890361
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: