Provider Demographics
NPI:1316136260
Name:PROSCIA, SCOTT M JR (BS, ATC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:M
Last Name:PROSCIA
Suffix:JR
Gender:M
Credentials:BS, ATC
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Mailing Address - Street 1:265 N BROADWAY
Mailing Address - Street 2:APT. 4F
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2625
Mailing Address - Country:US
Mailing Address - Phone:845-546-7677
Mailing Address - Fax:914-576-4662
Practice Address - Street 1:1075 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3242
Practice Address - Country:US
Practice Address - Phone:914-723-4900
Practice Address - Fax:914-723-7893
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
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Provider Licenses
StateLicense IDTaxonomies
NY001544-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer