Scott, Loretta

Scott, Loretta is an individual health care provider with primary practice located at 275 Castleton Ave , Staten Island NY 10301-2709. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Scott, Loretta can be contacted via phone (718) 447-7800.

Contact Information

Primary practice address
275 Castleton Ave Staten Island NY 10301-2709
Phone: (718) 447-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302486-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340378-1 New York

Profile Details

NPI number 1730168774
LBN Legal business name Scott, Loretta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730168774 NPPES
New York MEDICAID 01951055

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