Provider Demographics
NPI:1891831525
Name:SCHAROFF, GARY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:M
Last Name:SCHAROFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NORTH AVE
Mailing Address - Street 2:A1H
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2605
Mailing Address - Country:US
Mailing Address - Phone:914-632-6611
Mailing Address - Fax:914-632-1736
Practice Address - Street 1:1255 NORTH AVE
Practice Address - Street 2:A1H
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2605
Practice Address - Country:US
Practice Address - Phone:914-632-6611
Practice Address - Fax:914-632-1736
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03862511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice