Scott L Kellman in Lake Success - Internal Medicine

Scott L Kellman - NPI 1215936000

Scott L Kellman is a Internal Medicine in Lake Success, New York. Scott L Kellman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Scott L Kellman is 1215936000. The last update date is 2009-12-04.

Scott L Kellman's current location address is 2 Ohio Dr, Lake Success, New York. You can contact this provider via phone number 5166086820 and fax number 5166086821. The mailing address for Scott L Kellman is 2 Ohio Dr, Lake Success, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott L Kellman
Address 2 Ohio Dr, Lake Success, New York
Phone Number 5166086820
Fax Number 5166086821
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215936000
Provider Enumeration Date 2005-07-14
Last Updated Date 2009-12-04

Provider Mailing Address Detail

Address 2 Ohio Dr
City Lake Success
State New York (NY)
Post Code 110421111
Phone Number 5166086820
Fax Number 5166086821

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 120548
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00058733 NY RAILROAD MEDICARE

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FAQs about Scott L Kellman

What is the unique 10-digit identification code issued to Scott L Kellman by the Centers for Medicare & Medicaid Services?

The Scott L Kellman has been assigned the NPI (National Provider Identifier) 1215936000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Scott L Kellman's facilities are geographically located?

The facilities of Scott L Kellman are physically situated at the following location: 2 Ohio Dr, Lake Success, NY, 110421111.

What is the Scott L Kellman's specialty and taxonomy code?

The Scott L Kellman's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Scott L Kellman receive its 1215936000 assignment from the Centers for Medicare & Medicaid Services?

The Scott L Kellman was assigned its 1215936000 by the Centers for Medicare & Medicaid Services on 2005-07-14.

As of what date were the details related to Scott L Kellman most recently updated or revised?

The information pertaining to Scott L Kellman, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-04.

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