MEDICARE: PHILIP VARRIALE

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	174400000X	Specialist	84399	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0097686	OTHER	NY	AETNA HMO #
2	4276958	OTHER	NY	AETNA PPO #
3	VP4399	OTHER	NY	ATLANTIS HEALTH PLAN #
4	164971	OTHER	NY	EMPIRE BC/BS #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	NS3992	OTHER	NY	OXFORD #
7	084399	OTHER	NY	HIP #
8	4C9071	OTHER	NY	HEALTHNET #
9	0037630	OTHER	NY	GHI PPO #
10	084399	OTHER	NY	WORKERS COMPENSATION #

General Provider Information

NPI Number	:	1295754638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP VARRIALE

Provider Business Mailing Address
First Line	:	222 E 19TH ST
Second Line	:	SUITE 2D
City	:	NEW YORK
State	:	NY
Zip	:	10003-2607
Country	:	US
Telephone Number	:	212-777-3219
Fax Number	:	212-473-1336

Provider Business Practice Location Address
First Line	:	222 E 19TH ST
Second Line	:	SUITE 2D
City	:	NEW YORK
State	:	NY
Zip	:	10003-2607
Country	:	US
Telephone Number	:	212-777-3219
Fax Number	:	212-473-1336

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/18/2008

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Directions to “ PHILIP VARRIALE ” Practice Location

Language	Start Address	Practice Location

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