MEDICARE: DR. TERESA Z SCLAFANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	251497	NY
2	2085R0202X	Diagnostic Radiology Physician	202008453	MO
3	2085R0204X	Vascular & Interventional Radiology Physician	251497	NY
4	2085R0204X	Vascular & Interventional Radiology Physician	202008453	MO
5	2085R0204X	Vascular & Interventional Radiology Physician	25MA09180700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1699970392	OTHER		NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699970392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA Z SCLAFANI M.D.

Provider Business Mailing Address
First Line	:	166 W 18TH ST APT 6E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-5479
Country	:	US
Telephone Number	:	516-242-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 FRANKLIN AVE STE 200
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2946
Country	:	US
Telephone Number	:	516-240-1547
Fax Number	:	516-240-1548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/26/2025

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