MEDICARE: DR. SCOTT C BELLO 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
1	174400000X	Specialist	132945	NY
2	208000000X	Pediatrics Physician	132945	NY
3	2080P0006X	Developmental - Behavioral Pediatrics Physician	132945	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5929296	OTHER	NY	AETNA
3	110625000017	OTHER	NY	FIDELIS
4	240ZU1	OTHER	NY	EMPIRE BLUECROSS

General Provider Information

NPI Number	:	1295799633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT C BELLO M.D.

Provider Business Mailing Address
First Line	:	258 HOOSICK ST
Second Line	:	SUITE 100
City	:	TROY
State	:	NY
Zip	:	12180-2444
Country	:	US
Telephone Number	:	518-272-0232
Fax Number	:	518-272-4083

Provider Business Practice Location Address
First Line	:	258 HOOSICK ST
Second Line	:	SUITE 100
City	:	TROY
State	:	NY
Zip	:	12180-2444
Country	:	US
Telephone Number	:	518-272-0232
Fax Number	:	518-272-4083

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	04/08/2013

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Directions to “ DR. SCOTT C BELLO M.D.” Practice Location

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