=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275712721
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM J. SARCHINO, DPM
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2007
-----------------------------------------------------
Last Update Date | 11/01/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 477 STATE ROUTE 29
-----------------------------------------------------
City | GREENWICH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12834-4233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-692-9134
-----------------------------------------------------
Fax | 518-692-8939
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 477 STATE ROUTE 29
-----------------------------------------------------
City | GREENWICH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12834-4233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-692-9134
-----------------------------------------------------
Fax | 518-692-8939
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. WILLIAM J SARCHINO
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 518-692-9134
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 0560000159
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------