| Nicholas Varallo Md Pllc | |
|
670 Davison Road Lockport NY 14094-5338 | |
| (716) 433-5454 | |
| (716) 478-0488 |
| Full Name | Nicholas Varallo Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 670 Davison Road, Lockport, New York |
| Authorized Official Name and Position | Nicholas Varallo (OWNER) |
| Authorized Official Contact | 7164335454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Varallo Md Pllc 670 Davison Road Lockport NY 14094-5338 Ph: (716) 433-5454 | Nicholas Varallo Md Pllc 670 Davison Road Lockport NY 14094-5338 Ph: (716) 433-5454 |
| NPI Number | 1154408466 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154408466 | NPI | - | NPPES |
| DC0107 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 140206 (New York) | Primary |
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