Healthcare Provider Details

I. General information

NPI: 1881176931
Provider Name (Legal Business Name): CRAIG H. WARSCHAUER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 YORK AVE OFC P9
NEW YORK NY
10075-2577
US

IV. Provider business mailing address

PO BOX 629
FRANKLIN LAKES NJ
07417-0629
US

V. Phone/Fax

Practice location:
  • Phone: 212-327-1851
  • Fax:
Mailing address:
  • Phone: 201-847-8079
  • Fax: 201-847-0059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number167267
License Number StateNY

VIII. Authorized Official

Name: BRIAN COLE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 201-847-8079