MEDICARE: DR. SCOTT MCWILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	208276	NY

General Provider Information

NPI Number	:	1013918812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MCWILLIAMS MD

Provider Business Mailing Address
First Line	:	170 ROUTE 25A
Second Line	:
City	:	ROCKY POINT
State	:	NY
Zip	:	11778
Country	:	US
Telephone Number	:	631-331-4377
Fax Number	:	631-331-4459

Provider Business Practice Location Address
First Line	:	170 ROUTE 25A
Second Line	:
City	:	ROCKY POINT
State	:	NY
Zip	:	11778
Country	:	US
Telephone Number	:	631-331-4377
Fax Number	:	631-331-4459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	08/29/2017

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