Provider Demographics
NPI:1366784183
Name:PISCIOTTI, L SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:L SCOTT
Middle Name:
Last Name:PISCIOTTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17A HERITAGE HLS
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-1225
Mailing Address - Country:US
Mailing Address - Phone:914-263-2326
Mailing Address - Fax:
Practice Address - Street 1:17A HERITAGE HLS
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-1225
Practice Address - Country:US
Practice Address - Phone:914-263-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007309111NN0400X, 111NN1001X, 111NR0400X, 111NS0005X
SC3476111NN0400X, 111NN1001X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician