Provider Demographics
NPI:1609836378
Name:SCLAFANI, ANTHONY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PAUL
Last Name:SCLAFANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANTHONY
Other - Middle Name:
Other - Last Name:SCLAFANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1305 YORK AVE
Mailing Address - Street 2:FIFTH FLOOR, WEILL GREENBERG CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5663
Mailing Address - Country:US
Mailing Address - Phone:646-962-2285
Mailing Address - Fax:646-962-0100
Practice Address - Street 1:1305 YORK AVE
Practice Address - Street 2:FIFTH FLOOR, WEILL GREENBERG CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-2285
Practice Address - Fax:646-962-0100
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184649174400000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01672040Medicaid
NY01L171Medicare ID - Type Unspecified
NYG10452Medicare UPIN