Provider Demographics
NPI:1801096128
Name:SCOTT W ALPERT MD PC
Entity type:Organization
Organization Name:SCOTT W ALPERT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:631-423-4090
Mailing Address - Street 1:379 OAKWOOD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7205
Mailing Address - Country:US
Mailing Address - Phone:631-423-4090
Mailing Address - Fax:631-423-2099
Practice Address - Street 1:379 OAKWOOD RD
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7205
Practice Address - Country:US
Practice Address - Phone:631-423-4090
Practice Address - Fax:631-423-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182543207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty