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NPI Code Detail

MEDICARE: DR. MARVELL SCOTT M.D.

MEDICARE:  DR. MARVELL  SCOTT  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
1261QM1300XMulti-Specialty Clinic/Center241676-1NY

General Provider Information

NPI Number : 1144417478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARVELL SCOTT M.D.
Provider Business Mailing Address
First Line : 570 LEXINGTON AVE
Second Line : SUITE 1903
City : NEW YORK
State : NY
Zip : 10022-6837
Country : US
Telephone Number : 212-486-8616
Fax Number : 212-486-8621
Provider Business Practice Location Address
First Line : 570 LEXINGTON AVE
Second Line : SUITE 1903
City : NEW YORK
State : NY
Zip : 10022-6837
Country : US
Telephone Number : 212-486-8616
Fax Number : 212-486-8621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 05/15/2013

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Directions to “ DR. MARVELL SCOTT M.D.” Practice Location

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