MEDICARE: DR. ROSE E VARON 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	208000000X	Pediatrics Physician	168267	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	:	1427004720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSE E VARON M.D.

Provider Business Mailing Address
First Line	:	728 N MAIN ST
Second Line	:	REFUAH HEALTH CENTER
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1960
Country	:	US
Telephone Number	:	845-354-9300
Fax Number	:	845-354-4298

Provider Business Practice Location Address
First Line	:	728 N MAIN ST
Second Line	:	REFUAH HEALTH CENTER
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1960
Country	:	US
Telephone Number	:	845-354-9300
Fax Number	:	845-354-4298

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	12/11/2007

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