Provider Demographics
NPI:1932143906
Name:SCARPINATO, DOROTHY (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:SCARPINATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WALT WHITMAN RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3099
Mailing Address - Country:US
Mailing Address - Phone:631-293-9540
Mailing Address - Fax:631-293-9539
Practice Address - Street 1:1800 WALT WHITMAN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3099
Practice Address - Country:US
Practice Address - Phone:631-293-9540
Practice Address - Fax:631-293-9539
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173805-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300483030OtherTIN
E40684Medicare UPIN