Individual
THOMAS PETER SCULCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(646) 797-8973
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
106872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N44470
HEALTHNET
NY
01
—
NS45678
OXFORD
NY
Enumeration date
07/26/2006
Last updated
04/13/2021
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