Provider Demographics
NPI:1053386268
Name:POSTELL, SCOTT G (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:G
Last Name:POSTELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CADMAN PLAZA WEST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:929-210-6000
Mailing Address - Fax:929-210-6001
Practice Address - Street 1:300 CADMAN PLAZA WEST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:929-210-6000
Practice Address - Fax:929-210-6001
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172028207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01472357Medicaid
02H001Medicare PIN
NY01472357Medicaid