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NPI Code Detail

MEDICARE: CARL W SGAMBATI M.D.

MEDICARE:   CARL W SGAMBATI  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
1207Q00000XFamily Medicine Physician238706NY

Other Identifiers

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

General Provider Information

NPI Number : 1811963937
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL W SGAMBATI M.D.
Provider Business Mailing Address
First Line : PO BOX 1368
Second Line :
City : ALBANY
State : NY
Zip : 12201-1368
Country : US
Telephone Number : 518-886-5112
Fax Number : 518-693-4490
Provider Business Practice Location Address
First Line : 3050 ROUTE 50
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-2906
Country : US
Telephone Number : 518-886-5112
Fax Number : 518-693-4490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 12/29/2015

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Directions to “ CARL W SGAMBATI M.D.” Practice Location

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