MEDICARE: PHILIP VARRIALE, MD, PC

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	174400000X	Specialist	084399	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CF7168	OTHER	NY	RAILROAD MEDICARE GROUP #

General Provider Information

NPI Number	:	1912947771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIP VARRIALE, MD, PC

Provider Business Mailing Address
First Line	:	222 E 19TH ST
Second Line	:	SUITE 2D
City	:	NEW YORK
State	:	NY
Zip	:	10003-2607
Country	:	US
Telephone Number	:	212-777-3219
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 E 19TH ST
Second Line	:	SUITE 2D
City	:	NEW YORK
State	:	NY
Zip	:	10003-2607
Country	:	US
Telephone Number	:	212-777-3219
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PHILIP VARRIALE
Credential	:	MD
Telephone Number	:	212-777-3219

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/20/2008

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