Varallo, Mark

Varallo, Mark is an sole proprietor health care provider with primary practice located at 670 Davison Rd , Lockport NY 14094-5338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Varallo, Mark can be contacted via phone (716) 438-0822.

Contact Information

Primary practice address
670 Davison Rd Lockport NY 14094-5338
Phone: (716) 438-0822
Fax: (716) 438-0822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 199547 New York

Profile Details

NPI number 1881669281
LBN Legal business name Varallo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Feb 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881669281 NPPES
New York Other 3103079002 GHI
New York Other 00020919101 GHI
New York MEDICAID 01564007 GHI
New York Other 1590239 GHI
New York Other 000523692001 GHI

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