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Contact Information

DAVID SCUCCIMARRA, MD
111 CLOCKTOWER COMMONS
BREWSTER, NY10509
 Phone: 845-279-5187
 Fax: 845-279-5168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DAVID SCUCCIMARRA · (Male)

NPI Number 1922085232
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2005
Last updated 06/11/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 123540
  • NY Medicaid 00232375
Hospital affiliation(s) Not Available
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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