Healthcare Provider Details

I. General information

NPI: 1851378277
Provider Name (Legal Business Name): SALVATORE SCLAFANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 03/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 3RD AVE
BROOKLYN NY
11209-7702
US

IV. Provider business mailing address

9711 3RD AVE
BROOKLYN NY
11209-7702
US

V. Phone/Fax

Practice location:
  • Phone: 718-833-1808
  • Fax:
Mailing address:
  • Phone: 718-833-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number081046
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: