Provider Demographics
NPI:1952362592
Name:VERNI, SCOTT A (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:VERNI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:825 E GATE BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2136
Mailing Address - Country:US
Mailing Address - Phone:516-804-5200
Mailing Address - Fax:516-240-6540
Practice Address - Street 1:189 FOREST AVE STE 2C
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2068
Practice Address - Country:US
Practice Address - Phone:516-674-3000
Practice Address - Fax:516-674-3017
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-09-18
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Provider Licenses
StateLicense IDTaxonomies
NY205806207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01756050Medicaid
NYG52037Medicare UPIN
NYA400164294Medicare PIN