Provider Demographics
NPI:1093878753
Name:WHITNEY, SCOTT M (DPM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 EAST 79TH STREET, 1-0
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-737-3270
Mailing Address - Fax:212-737-1474
Practice Address - Street 1:333 E 79TH ST # 1-0
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0956
Practice Address - Country:US
Practice Address - Phone:212-737-3270
Practice Address - Fax:212-737-1474
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN3455213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist