Provider Demographics
NPI:1205004603
Name:SCARPIDIS, ULYSSES (MD, MPA)
Entity Type:Individual
Prefix:DR
First Name:ULYSSES
Middle Name:
Last Name:SCARPIDIS
Suffix:
Gender:M
Credentials:MD, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W 57TH ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3158
Mailing Address - Country:US
Mailing Address - Phone:732-707-4311
Mailing Address - Fax:732-588-5533
Practice Address - Street 1:140 BERGEN ST
Practice Address - Street 2:SUITE E1620
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2425
Practice Address - Country:US
Practice Address - Phone:732-707-4311
Practice Address - Fax:732-588-5533
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY245842-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery