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NPI Code Detail

MEDICARE: ANNA WARCHOL MD

MEDICARE: ANNA WARCHOL MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician198934NY
2207R00000XInternal Medicine Physician198934NY

General Provider Information

NPI Number : 1851387682
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA WARCHOL MD
Provider Business Mailing Address
First Line : 2627B HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-4353
Country : US
Telephone Number : 718-987-6000
Fax Number :
Provider Business Practice Location Address
First Line : 934 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-5928
Country : US
Telephone Number : 718-389-8585
Fax Number : 718-389-2378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 06/10/2021

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