Healthcare Provider Details

I. General information

NPI: 1356916712
Provider Name (Legal Business Name): ROBERT MICHAEL SCARFO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TURNPIKE NUHEALTH INTERNAL MEDICINE RESIDENCY PROGRAM
EAST MEADOW NY
11554
US

IV. Provider business mailing address

2201 HEMPSTEAD TURNPIKE NUHEALTH INTERNAL MEDICINE RESIDENCY PROGRAM
EAST MEADOW NY
11554
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6637
  • Fax:
Mailing address:
  • Phone: 516-572-5100
  • Fax: 516-572-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: