Provider Demographics
NPI:1811155781
Name:MACRON, DONALD SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SCOTT
Last Name:MACRON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:NEW YORK SPINE AND BRAIN SURGERY
Mailing Address - Street 2:101 NICOLLS ROAD - HSC T12 RM 080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8122
Mailing Address - Country:US
Mailing Address - Phone:631-444-1116
Mailing Address - Fax:631-444-1535
Practice Address - Street 1:NEW YORK SPINE AND BRAIN SURGERY
Practice Address - Street 2:101 NICOLLS ROAD - HSC T12 RM 080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8122
Practice Address - Country:US
Practice Address - Phone:631-444-1116
Practice Address - Fax:631-444-1535
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2014-06-18
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Provider Licenses
StateLicense IDTaxonomies
NY244611208100000X
PAMD438096208100000X
NC2010-00042208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC161U0OtherBCBSNC
NC5916728Medicaid
NC2077150Medicare PIN