Provider Demographics
NPI:1295799633
Name:BELLO, SCOTT C (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:BELLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:258 HOOSICK ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2444
Mailing Address - Country:US
Mailing Address - Phone:518-272-0232
Mailing Address - Fax:518-272-4083
Practice Address - Street 1:258 HOOSICK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2444
Practice Address - Country:US
Practice Address - Phone:518-272-0232
Practice Address - Fax:518-272-4083
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-04-08
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Provider Licenses
StateLicense IDTaxonomies
NY132945174400000X, 208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00487967Medicaid
NY5929296OtherAETNA
NY110625000017OtherFIDELIS
NY240ZU1OtherEMPIRE BLUECROSS