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NPI Code Detail

MEDICARE: HOLLY C VARRIALE

MEDICARE: HOLLY C 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
1101YM0800XMental Health CounselorNY

General Provider Information

NPI Number : 1669023800
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY C VARRIALE
Provider Business Mailing Address
First Line : 11-21 BROADWAY ST
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3964
Country : US
Telephone Number : 518-725-4310
Fax Number :
Provider Business Practice Location Address
First Line : 11-21 BROADWAY ST
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3964
Country : US
Telephone Number : 518-725-4310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 09/27/2019

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Directions to “ HOLLY C VARRIALE ” Practice Location

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