Individual
MR. MICHAEL J SGROI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO, LPO, PT
Contact information
Practice address
2333 MORRIS AVE STE C-210, ALLCARE ORTHOTICS AND PROSTHETICS, UNION, NJ 07083-5714
(908) 790-9222
(908) 688-5785
Mailing address
11 GLENMERE RD, NEW CITY, NY 10956-4207
(845) 893-1149
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
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