Individual provider · Type 1 NPI

Mary Jean Scourboutakos, MD, PhD

Family Medicine Physician · Bronx, NY

NPI number 1184310104 Active

Practice location

731 White Plains Rd
Bronx, NY 10473-2631

Call (718) 589-8775 Map

Fax (845) 633-5766

Mailing address

107 Homestead Rd.
Toronto, ONTARIO M1E 3S1

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X335325 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1184310104

Mary Jean Scourboutakos, MD, PhD's National Provider Identifier is 1184310104, issued on Apr 13, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 23, 2025.