Provider Demographics
NPI:1235118530
Name:SGARLATO, ANTHONY RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RALPH
Last Name:SGARLATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:250 SAINT JOHNS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2926
Mailing Address - Country:US
Mailing Address - Phone:718-273-5368
Mailing Address - Fax:718-273-5368
Practice Address - Street 1:8684 15TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228
Practice Address - Country:US
Practice Address - Phone:718-232-0703
Practice Address - Fax:718-232-3256
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY172454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA60705Medicare UPIN
NY14E101Medicare ID - Type Unspecified
NY14E101Medicare PIN