Scott Tisdale, O.D

NPI 1255594453 · on the registry since 2008 · sole proprietor

Practice

Address: 8565 Jericho Tpke
Woodbury, NY 11797
Phone: (516) 367-3400
Organisation at this address: Robert Courgi Llc
White Oaks Rehabilitation And Nursing Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York