Healthcare Provider Details

I. General information

NPI: 1528053659
Provider Name (Legal Business Name): OSKAR VARSHAVSKIY M.D., D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7510 4TH AVE SUITE#5
BROOKLYN NY
11209-3244
US

IV. Provider business mailing address

7510 4TH AVE SUITE#5
BROOKLYN NY
11209-3244
US

V. Phone/Fax

Practice location:
  • Phone: 718-836-0761
  • Fax: 718-836-7369
Mailing address:
  • Phone: 718-836-0761
  • Fax: 718-836-7369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number225135
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: