Doctor Name: | SCOTT JUSTIN PIATT |
NPI Number: | 1033102231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPA |
License Number: | 005651 |
Business Practice Address: | 238 N Main St Wellsville, NY - 148951046 |
Business Phone Number: | 5855930400 |
Business Fax Number: | |
Mailing Address: | 8 Christ View Dr, CUBA |
State: | NY |
Postal Code: | 147271202 |
Phone Number: | 5859685647 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 005651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |