1598846073 NPI number — DR. STEPHEN WARSHAFSKY M.D.

Table of content: DR. STEPHEN WARSHAFSKY M.D. (NPI 1598846073)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598846073 NPI number — DR. STEPHEN WARSHAFSKY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARSHAFSKY
Provider First Name:
STEPHEN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598846073
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1055 SAW MILL RIVER RD
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
ARDSLEY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10502-1050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-591-0733
Provider Business Mailing Address Fax Number:
914-591-2213

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1055 SAW MILL RIVER RD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
ARDSLEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10502-1050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-591-0733
Provider Business Practice Location Address Fax Number:
914-591-2213
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  60188090 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 327702 . This is a "MVP HEALTHCARE INSURANCE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: WP415 . This is a "OXFORD HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 126AQ1 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2164178 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 562346187 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2593193 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 562346187 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3C8953 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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