| NPI | 1003355207 |
|---|---|
| Doing Business As | SCARSDALE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHIELDS Director, Medical Staff 914-681-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-01-23 |