Provider Demographics
NPI:1609877588
Name:PRESS, SCOTT M (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:PRESS
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
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Mailing Address - Street 1:792 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2744
Mailing Address - Country:US
Mailing Address - Phone:631-591-3120
Mailing Address - Fax:631-591-3123
Practice Address - Street 1:792 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2744
Practice Address - Country:US
Practice Address - Phone:631-591-3120
Practice Address - Fax:631-591-3123
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY191597208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5271532OtherAETNA
NY40H681OtherEMPIRE BCBS
NY1C5727OtherHEALTHNET
NY4193736005OtherHEALTHCARE PARTNERS
NY4193736006OtherCIGNA
NY73346OtherVYTRA
NY01709342Medicaid
NY1000607OtherGHI
NY1754189OtherUNITED HEALTHCARE
NY31567POtherHIP
NYP00366219OtherRAILROAD MEDICARE
NYP544142OtherOXFORD
NY4193736006OtherCIGNA
NY5271532OtherAETNA