Thomas Scandalis in Old Westbury - Sports Medicine

Thomas Scandalis - NPI 1750370037

Thomas Scandalis is a Sports Medicine in Old Westbury, New York. Thomas Scandalis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Thomas Scandalis is 1750370037. The last update date is 2008-06-30.

Thomas Scandalis's current location address is Northern Blvd, Old Westbury, New York. You can contact this provider via phone number 5166863751 and fax number 5166867890. The mailing address for Thomas Scandalis is Northern Blvd, Old Westbury, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Scandalis
Address Northern Blvd, Old Westbury, New York
Phone Number 5166863751
Fax Number 5166867890
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1750370037
Provider Enumeration Date 2005-10-19
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address Northern Blvd
City Old Westbury
State New York (NY)
Post Code 115688000
Phone Number 5166863751
Fax Number 5166867890

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 175161
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1821048612 NY GROUP NPI NUMBER
1750370037 NY NPI NUMBER

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FAQs about Thomas Scandalis

What is the Thomas Scandalis's unique identification number?

The Thomas Scandalis has been assigned the NPI (National Provider Identifier) Number 1750370037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Thomas Scandalis?

The Thomas Scandalis is situated at Northern Blvd, in the city of Old Westbury, state of NY, with the zip code 115688000.

What is the area of specialization for Thomas Scandalis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Scandalis is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.

On what date did the Thomas Scandalis receive its 1750370037 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Scandalis was assigned its 1750370037 by the Centers for Medicare & Medicaid Services on 2005-10-19.

When was the information regarding Thomas Scandalis most recently updated?

The details pertaining to the Thomas Scandalis, including its address, specialty, and other relevant information, were last refreshed on 2008-06-30.

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