Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 184649 | NY |
NPI | 1609836378 |
---|---|
Provider Name | Dr. Anthony Paul Sclafani |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10003-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 25/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01672040 | (05) | NY |
G10452 | (02) | NY |