Healthcare Provider Details

I. General information

NPI: 1508050972
Provider Name (Legal Business Name): JOEL ALLEN WARING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVE DEPT OF ANESTHESIOLOGY
BROOKLYN NY
11219-2916
US

IV. Provider business mailing address

4802 10TH AVE DEPT. OF ANESTHESIOLOGY
BROOKLYN NY
11219-2916
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-6240
  • Fax:
Mailing address:
  • Phone: 646-541-9980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number248846
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number248846
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: