MEDICARE: DR. ALLAN B WARSHOWSKY 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	207VG0400X	Gynecology Physician	120457	NY
2	207VG0400X	Gynecology Physician	D0064600	MD

General Provider Information

NPI Number	:	1366491128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN B WARSHOWSKY M.D.

Provider Business Mailing Address
First Line	:	150 PURCHASE ST
Second Line	:	SUITE 12R
City	:	RYE
State	:	NY
Zip	:	10580-2141
Country	:	US
Telephone Number	:	914-967-1630
Fax Number	:	914-967-1624

Provider Business Practice Location Address
First Line	:	150 PURCHASE ST
Second Line	:	SUITE 12R
City	:	RYE
State	:	NY
Zip	:	10580-2141
Country	:	US
Telephone Number	:	914-967-1630
Fax Number	:	914-967-1624

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	02/04/2015

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