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NPI Code Detail

MEDICARE: ROBERT M SCOLNICK M.D.

MEDICARE:   ROBERT M SCOLNICK  M.D.
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
1207L00000XAnesthesiology Physician1570362NY

General Provider Information

NPI Number : 1134135312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M SCOLNICK M.D.
Provider Business Mailing Address
First Line : 6 HENKER FARM LN
Second Line :
City : BEDFORD
State : NY
Zip : 10506-1916
Country : US
Telephone Number : 631-878-4642
Fax Number :
Provider Business Practice Location Address
First Line : 1097 OLD COUNTRY RD
Second Line : SUITE 104
City : PLAINVIEW
State : NY
Zip : 11803-6505
Country : US
Telephone Number : 631-878-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT M SCOLNICK M.D.” Practice Location

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