National Provider Identifier
Mark Varallo, MD
Mark Varallo, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Lockport, NY and a listed phone number of (716) 438-0822.
Profile Overview
- NPI
- 1881669281
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- February 20, 2006
- Last Updated
- February 24, 2015
Practice Location
- 670 Davison RD
- Lockport, NY 14094-5338
Phone: (716) 438-0822
Mailing Address
- PO Box 1207
- Wilson, NY 14172-1207
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1881669281
- Entity Type
- Individual
- Last Name
- Varallo
- First Name
- Mark
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- PO Box 1207
- Mailing City
- Wilson
- Mailing State
- NY
- Mailing ZIP Code
- 14172-1207
- Mailing Country
- US
- Mailing Phone
- (716) 438-0822
- Mailing Fax
- (716) 438-0822
- Practice Street Address
- 670 Davison RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5338
- Practice Country
- US
- Practice Phone
- (716) 438-0822
- Practice Fax
- (716) 438-0822
- Enumeration Date
- February 20, 2006
- Last Updated
- February 24, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 3103079002 (NY, Ghi), 00020919101 (NY, Univera), 01564007 (NY), 1590239 (NY, Independent Health), 000523692001 (NY, Blue Cross./ Blue Shield)