Provider Demographics
NPI:1225290455
Name:SCOTT-RAM, RENATA AMANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:RENATA
Middle Name:AMANDA
Last Name:SCOTT-RAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOLLOW LN STE 315
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1215
Mailing Address - Country:US
Mailing Address - Phone:516-437-4300
Mailing Address - Fax:
Practice Address - Street 1:1 HOLLOW LN STE 315
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1215
Practice Address - Country:US
Practice Address - Phone:165-437-4300
Practice Address - Fax:914-493-2060
Is Sole Proprietor?:No
Enumeration Date:2008-06-29
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265233-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology