Healthcare Provider Details

I. General information

NPI: 1093718397
Provider Name (Legal Business Name): JOSEPH F SCLAFANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 6 STREET
BROOKLYN NY
11215-3609
US

IV. Provider business mailing address

PO BOX 5453
NEW YORK NY
10087-5453
US

V. Phone/Fax

Practice location:
  • Phone: 718-780-3272
  • Fax: 718-780-3079
Mailing address:
  • Phone: 718-780-3272
  • Fax: 718-780-3079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35042288
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number243259
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: