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NPI Code Detail

MEDICARE: MR. JERRARD P VARRONE FNP

MEDICARE: MR. JERRARD P VARRONE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner333378NY

General Provider Information

NPI Number : 1093827487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JERRARD P VARRONE FNP
Provider Business Mailing Address
First Line : 700 VICTORY BLVD
Second Line : 2K
City : STATEN ISLAND
State : NY
Zip : 10301-3554
Country : US
Telephone Number : 718-727-4266
Fax Number : 718-980-1553
Provider Business Practice Location Address
First Line : 130 ROSE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2241
Country : US
Telephone Number : 718-980-1553
Fax Number : 718-980-1553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/07/2011

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