Healthcare Provider Details

I. General information

NPI: 1891029575
Provider Name (Legal Business Name): FRANK SCAFURI III D.O.P,C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2177 VICTORY BLVD
STATEN ISLAND NY
10314-6603
US

IV. Provider business mailing address

2177 VICTORY BLVD
STATEN ISLAND NY
10314-6603
US

V. Phone/Fax

Practice location:
  • Phone: 718-370-3730
  • Fax: 718-698-9412
Mailing address:
  • Phone: 718-370-3730
  • Fax: 718-698-9412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK SCAFURI
Title or Position: OWNER/PHYSICIAN
Credential: D.O
Phone: 718-370-3730