Provider Demographics
NPI:1598028466
Name:WIENER, SCOTT V (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:V
Last Name:WIENER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:251 SALINA MEADOWS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-4516
Mailing Address - Country:US
Mailing Address - Phone:315-464-2000
Mailing Address - Fax:315-464-2010
Practice Address - Street 1:4900 BROAD ROAD
Practice Address - Street 2:SUITE 4V
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215
Practice Address - Country:US
Practice Address - Phone:315-492-3700
Practice Address - Fax:315-492-3596
Is Sole Proprietor?:No
Enumeration Date:2012-06-16
Last Update Date:2019-07-22
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Provider Licenses
StateLicense IDTaxonomies
NY297082208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology