Provider Demographics
NPI:1669644340
Name:SALVATORE A. FARRUGGIO, M.D., P.C.
Entity Type:Organization
Organization Name:SALVATORE A. FARRUGGIO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARRUGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-723-6300
Mailing Address - Street 1:2 OVERHILL RD STE 430
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5340
Mailing Address - Country:US
Mailing Address - Phone:914-723-6300
Mailing Address - Fax:888-668-1470
Practice Address - Street 1:2 OVERHILL RD STE 430
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5340
Practice Address - Country:US
Practice Address - Phone:914-723-6300
Practice Address - Fax:888-668-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1807711208200000X, 208200000X
NJMA62267208200000X, 2082S0099X, 2082S0105X
NY1807112082S0099X, 2082S0105X
CT0364212082S0099X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY28L222Medicare PIN
NYG10166Medicare UPIN