Provider Demographics
NPI:1275712721
Name:WILLIAM J. SARCHINO, DPM
Entity Type:Organization
Organization Name:WILLIAM J. SARCHINO, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SARCHINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:518-692-9134
Mailing Address - Street 1:477 STATE ROUTE 29
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:NY
Mailing Address - Zip Code:12834-4233
Mailing Address - Country:US
Mailing Address - Phone:518-692-9134
Mailing Address - Fax:518-692-8939
Practice Address - Street 1:477 STATE ROUTE 29
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-4233
Practice Address - Country:US
Practice Address - Phone:518-692-9134
Practice Address - Fax:518-692-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0560000159213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01157666Medicaid
NY01157666Medicaid