Provider Demographics
NPI:1114941499
Name:HAIG, SCOTT VANDERWINK (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:VANDERWINK
Last Name:HAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WHITE PLAINS ROAD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5063
Mailing Address - Country:US
Mailing Address - Phone:914-723-4244
Mailing Address - Fax:914-725-3291
Practice Address - Street 1:700 WHITE PLAINS ROAD
Practice Address - Street 2:SUITE 10
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-723-4244
Practice Address - Fax:914-725-3291
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040965207X00000X
NY168044-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E87314Medicare UPIN
CT200001080Medicare ID - Type Unspecified
NY34F961Medicare ID - Type Unspecified