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Mr. Scott Reynolds, ATC
Sports Medicine (Preventive Medicine) Physician in Coram, New York
NPI 1922614999

Scott Reynolds is a Sports Medicine (Preventive Medicine) Physician based in Coram, NY and is specialized in Sports Medicine. Scott Reynolds practices in Coram, NY and has the professional credentials of ATC. The NPI Number for Scott Reynolds is 1922614999 and holds a License No. 002491 (New York).

The current practice location address for Scott Reynolds is 21 Kathleen Cres, Coram, NY and can be reached out via phone at 631-766-0534.

Location: 21 Kathleen Cres, Coram, NY, 11727-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922614999
Provider Name
Scott Reynolds
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
21 Kathleen Cres, Coram, NY, 11727-1469
Phone Number
631-766-0534
Fax Number
Provider Enumeration Date
09/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000011183 01 BOC
002491 01 NY NY STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
21 Kathleen Cres
City
Coram
State
New York
Zip
11727-1469
Phone Number
631-766-0534
Fax Number
person
Provider Business Mailing Address Details
Address
21 Kathleen Cres
City
Coram
State
New York
Zip
11727-1469
Phone Number
631-766-0534
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
002491 (New York)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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