Individual
MR. MICHAEL J SGROI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO, LPO, PT
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO02860
—
224P00000X
Prosthetist
CPO02860
—
225100000X
Physical Therapist
025470-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11457254
CAQH NUMBER
—
01
—
7595675
AETNA
—
01
—
Q108C1
BLUE CROSS AND BLUE SHIELD
—
Enumeration date
07/21/2005
Last updated
08/12/2011
Update your record
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