1952451411

Everything you always wanted to know about SCOTT S. BREHAUT, MD, PLLC DR. BREHAUT S SCOTT but were afraid to ask.

SCOTT S. BREHAUT, MD, PLLC DR. BREHAUT S SCOTT

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
SCOTT S. BREHAUT, MD, PLLC DR. BREHAUT S SCOTT
Gender:
none
Enumeration date:
2007-01-10
Last update date:
2013-02-18
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
BA1098 Medicare PIN none NY 1
03129251 Medicaid none NY 1

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine NY none

Phone Numbers

Type Number
Mailing Address Telephone Number 3157362080
Practice Location Address Telephone Number 3152722285
Authorized Official Telephone Number 3152722285
Mailing Address Fax Number 3157362162
Practice Location Address Fax Number 3156240192

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 687 NEW HARTFORD NY 13413 NY
Practice Location Address 4290 MIDDLE SETTLEMENT RD NEW HARTFORD NY 13413 NY

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