MEDICARE: NANCY T SKLARIN MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	151342	NY

General Provider Information

NPI Number	:	1770554487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY T SKLARIN MD, MS

Provider Business Mailing Address
First Line	:	633 3RD AVE
Second Line	:	BOX 3
City	:	NEW YORK
State	:	NY
Zip	:	10017-6706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E 66TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6800
Country	:	US
Telephone Number	:	646-888-5488
Fax Number	:	646-888-4911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/08/2021

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