MEDICARE: DR. SCOTT MICHAEL LEARY 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	2084P0800X	Psychiatry Physician	335126	NY
2	2084P0800X	Psychiatry Physician	ME165445	FL

General Provider Information

NPI Number	:	1346827888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MICHAEL LEARY MD

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6504
Country	:	US
Telephone Number	:	332-243-1815
Fax Number	:	351-200-9331

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL FL 12
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	305-355-8264
Fax Number	:

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

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/13/2026

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