Provider Demographics
NPI:1326034992
Name:PERRAPATO, SCOTT D (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:PERRAPATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:802-847-2884
Mailing Address - Fax:802-847-6020
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2884
Practice Address - Fax:802-847-6020
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168929208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010136701OtherUNIVERA
NY1909187OtherINDEPENDENT HEALTH
NY01183724Medicaid
NY0447OtherBLUE CROSS ROCHESTER
NY1099969OtherGHI
NYMD4415OtherPREFERRED CARE
NY01183724Medicaid
NYMD4415OtherPREFERRED CARE