MEDICARE: MARK WARFEL DO

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	207Q00000X	Family Medicine Physician	180399-1	NY
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	180399	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639169048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK WARFEL DO

Provider Business Mailing Address
First Line	:	4401 MIDDLE SETTLEMENT RD
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5331
Country	:	US
Telephone Number	:	315-797-2398
Fax Number	:	315-797-2419

Provider Business Practice Location Address
First Line	:	4401 MIDDLE SETTLEMENT RD
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5331
Country	:	US
Telephone Number	:	315-797-2398
Fax Number	:	315-797-2419

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/06/2012

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