1912900622 NPI number — SCOTT MUNRO M.D.

Table of content: SCOTT MUNRO M.D. (NPI 1912900622)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912900622 NPI number — SCOTT MUNRO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUNRO
Provider First Name:
SCOTT
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912900622
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 PARK STREET
Provider Second Line Business Mailing Address:
GLENS FALLS HOSPITAL - CREDENTIALING
Provider Business Mailing Address City Name:
GLENS FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12801-4413
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-926-5924
Provider Business Mailing Address Fax Number:
518-926-6983

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 HEARTS WAY
Provider Second Line Business Practice Location Address:
ADIRONDACK CARDIOLOGY
Provider Business Practice Location Address City Name:
QUEENSBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12804-5925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-792-1233
Provider Business Practice Location Address Fax Number:
518-792-6854
Provider Enumeration Date:
05/27/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  217908 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P01000248 . This is a "RR MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02120294 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".