Healthcare Provider Details

I. General information

NPI: 1154355303
Provider Name (Legal Business Name): SHERIN VARKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 JEFFERSON HTS SUITE A 102
CATSKILL NY
12414-1248
US

IV. Provider business mailing address

312 BROOKFORD RD
SYRACUSE NY
13224-1704
US

V. Phone/Fax

Practice location:
  • Phone: 518-626-5240
  • Fax: 518-943-7289
Mailing address:
  • Phone: 845-701-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number240852
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: