Provider Demographics
NPI:1134113533
Name:DOWLING, VINCENT SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:SCOTT
Last Name:DOWLING
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 1:11120 QUEENS BLVD BSMT LEVEL
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6303
Mailing Address - Country:US
Mailing Address - Phone:718-263-2208
Mailing Address - Fax:718-263-3442
Practice Address - Street 1:11120 QUEENS BLVD BSMT LEVEL
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6303
Practice Address - Country:US
Practice Address - Phone:718-263-2208
Practice Address - Fax:718-263-3442
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics