MEDICARE: MR. MICHAEL MEIR WARSAWSKY FNP-BC

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	363LF0000X	Family Nurse Practitioner	356676	NY

General Provider Information

NPI Number	:	1548126360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL MEIR WARSAWSKY FNP-BC

Provider Business Mailing Address
First Line	:	688 CHURCH AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2736
Country	:	US
Telephone Number	:	516-732-1579
Fax Number	:

Provider Business Practice Location Address
First Line	:	688 CHURCH AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2736
Country	:	US
Telephone Number	:	516-732-1579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2025
Last Update Date	:	12/25/2025

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