Healthcare Provider Details

I. General information

NPI: 1609836378
Provider Name (Legal Business Name): ANTHONY PAUL SCLAFANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANTHONY SCLAFANI M.D.

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 YORK AVE FIFTH FLOOR, WEILL GREENBERG CENTER
NEW YORK NY
10021-5663
US

IV. Provider business mailing address

1305 YORK AVE FIFTH FLOOR, WEILL GREENBERG CENTER
NEW YORK NY
10021-5663
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2285
  • Fax: 646-962-0100
Mailing address:
  • Phone: 646-962-2285
  • Fax: 646-962-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number184649
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number184649
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: