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NPI Code Detail

MEDICARE: NICHOLAS SANFILIPPO M.D.

MEDICARE:   NICHOLAS  SANFILIPPO  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
12085R0001XRadiation Oncology Physician217645NY

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 : 1902807779
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS SANFILIPPO M.D.
Provider Business Mailing Address
First Line : 160 E 34TH ST
Second Line : LL
City : NEW YORK
State : NY
Zip : 10016-4750
Country : US
Telephone Number : 212-731-5003
Fax Number :
Provider Business Practice Location Address
First Line : 160 E 34TH ST
Second Line : LL
City : NEW YORK
State : NY
Zip : 10016-4750
Country : US
Telephone Number : 212-731-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 11/10/2011

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Directions to “ NICHOLAS SANFILIPPO M.D.” Practice Location

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