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General NPI Number Information
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NPI Number | 1679527600
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Entity Type | Individual
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Provider Name | SCOTT IRA FIELDS MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 411 CANISTEO ST
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City | HORNELL
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State | NY
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Zip | 14843-2104
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Country | US
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Telephone | 607-324-8255
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Fax | 607-324-8774
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Provider Business Mailing Address
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Address Line | 7 ERIE AVE
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City | HORNELL
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State | NY
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Zip | 14843-1909
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Country | US
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Telephone | 607-324-8255
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Fax | 607-324-8774
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 227927-1
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License Number State | NY
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