Provider Demographics
NPI:1265475644
Name:ALPERT, SCOTT W (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:W
Last Name:ALPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:379 OAKWOOD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7205
Mailing Address - Country:US
Mailing Address - Phone:631-423-4090
Mailing Address - Fax:631-547-5072
Practice Address - Street 1:379 OAKWOOD RD
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7205
Practice Address - Country:US
Practice Address - Phone:631-423-4090
Practice Address - Fax:631-547-5072
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY182543207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01584532Medicaid
NY01584532Medicaid
F84286Medicare UPIN