MEDICARE: DR. EMMANUEL IOANNIS VARKARIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207UN0901X	Nuclear Cardiology Physician	225098	NY
2	207UN0902X	Nuclear Imaging & Therapy Physician	225098	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215915657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMANUEL IOANNIS VARKARIS M.D.

Provider Business Mailing Address
First Line	:	563 CEDAR SWAMP RD
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2237
Country	:	US
Telephone Number	:	917-567-6249
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 MIDDLEVILLE RD
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-2200
Country	:	US
Telephone Number	:	631-261-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	04/11/2024

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