Provider Demographics
NPI:1982785531
Name:FARRUGGIO, SALVATORE A (MD)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:A
Last Name:FARRUGGIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SALVATORE
Other - Middle Name:A
Other - Last Name:FARRUGGIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144102208200000X, 208200000X
NY1807112082S0099X, 2086S0122X, 208200000X, 208200000X
CT0364212082S0099X, 2082S0105X
NJMA622672082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY28L222Medicare ID - Type Unspecified
NYG10166Medicare UPIN