Provider Demographics
NPI:1194338509
Name:SCOTLAND, VERAN (SPECIAL EDUCATOR)
Entity type:Individual
Prefix:MR
First Name:VERAN
Middle Name:
Last Name:SCOTLAND
Suffix:
Gender:M
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 E 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3301
Mailing Address - Country:US
Mailing Address - Phone:347-600-4802
Mailing Address - Fax:
Practice Address - Street 1:1167 E 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3301
Practice Address - Country:US
Practice Address - Phone:347-600-4802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1151570171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty