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General NPI Number Information
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NPI Number | 1003818584
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Entity Type | Individual
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Provider Name | GERARD P VARLOTTA D.O
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Gender | Male
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Dates
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Enumeration Date | 08/13/2005
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 20 E 46TH ST RM 304
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City | NEW YORK
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State | NY
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Zip | 10017-9286
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Country | US
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Telephone | 212-725-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 22 SHAWNEE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-2211
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Country | US
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Telephone | 212-725-1800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 159346
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 159346
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 159346
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License Number State | NY
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