MEDICARE: DR. PAUL SFORZA 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	207W00000X	Ophthalmology Physician	206331	NY

General Provider Information

NPI Number	:	1700869716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL SFORZA M.D.

Provider Business Mailing Address
First Line	:	5515 LITTLE NECK PKWY
Second Line	:	SUITE L10
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2203
Country	:	US
Telephone Number	:	631-265-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	5515 LITTLE NECK PKWY
Second Line	:	SUITE L10
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2203
Country	:	US
Telephone Number	:	631-265-8780
Fax Number	:

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	10/19/2016

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