Provider Demographics
NPI:1720063944
Name:SCOTT, CLAUDE B (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:B
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4187
Mailing Address - Country:US
Mailing Address - Phone:718-362-3225
Mailing Address - Fax:718-622-1369
Practice Address - Street 1:38 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-4187
Practice Address - Country:US
Practice Address - Phone:718-362-3225
Practice Address - Fax:718-622-1369
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221002-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02197322Medicaid
NY428F21Medicare ID - Type Unspecified
NYH52257Medicare UPIN