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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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