MEDICARE: VARIANCE STAFFING INC

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
1	251E00000X	Home Health Agency		NY

General Provider Information

NPI Number	:	1396901948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARIANCE STAFFING INC

Provider Business Mailing Address
First Line	:	305 MADISON AVE
Second Line	:	ST 449
City	:	NEW YORK
State	:	NY
Zip	:	10165-0006
Country	:	US
Telephone Number	:	347-830-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10165-0006
Country	:	US
Telephone Number	:	347-830-6106
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES PLATTEBORZE
Credential	:
Telephone Number	:	347-730-2081

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	08/04/2008

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