Healthcare Provider Details

I. General information

NPI: 1477114403
Provider Name (Legal Business Name): BRITTANY LYNN SCOTT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 CANAL VIEW BLVD STE 400
ROCHESTER NY
14623-2823
US

IV. Provider business mailing address

1815 S CLINTON AVE STE 610
ROCHESTER NY
14618-5723
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-3430
  • Fax: 585-244-2202
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number023695
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: