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NPI Code Detail

MEDICARE: DR. STEPHEN SCOTTO-LAVINO DDS

MEDICARE:  DR. STEPHEN  SCOTTO-LAVINO  DDS
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
1122300000XDentist036726NY

General Provider Information

NPI Number : 1699841163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN SCOTTO-LAVINO DDS
Provider Business Mailing Address
First Line : 260 MIDDLE COUNTRY RD
Second Line : SUITE 20
City : SELDEN
State : NY
Zip : 11784-2568
Country : US
Telephone Number : 631-698-9400
Fax Number : 631-698-3272
Provider Business Practice Location Address
First Line : 260 MIDDLE COUNTRY RD
Second Line : SUITE 20
City : SELDEN
State : NY
Zip : 11784-2568
Country : US
Telephone Number : 631-698-9400
Fax Number : 631-698-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEPHEN SCOTTO-LAVINO DDS” Practice Location

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