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Contact Information

SCOTT M NETTBOY, DO
100 NICOLLS RD
STONY BROOK, NY11794-2510
 Phone: 631-444-8478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SCOTT M NETTBOY · (Male)

NPI Number 1831682202
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/11/2018
Last updated 06/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 310631
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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