National Provider Identifier
Nicholas Varallo, MD
Nicholas Varallo, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lockport, NY and a listed phone number of (716) 433-5454.
Profile Overview
- NPI
- 1982628574
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 27, 2006
- Last Updated
- December 23, 2009
Practice Location
- 670 Davison Road
- Lockport, NY 14094-5338
Phone: (716) 433-5454
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1982628574
- Entity Type
- Individual
- Last Name
- Varallo
- First Name
- Nicholas
- Credential
- MD
- Mailing Street Address
- 670 Davison Road
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5338
- Mailing Country
- US
- Mailing Phone
- (716) 433-5454
- Mailing Fax
- (716) 478-0488
- Practice Street Address
- 670 Davison Road
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5338
- Practice Country
- US
- Practice Phone
- (716) 433-5454
- Practice Fax
- (716) 478-0488
- Enumeration Date
- July 27, 2006
- Last Updated
- December 23, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0105391 (NY, Independent Health), 00710949 (NY), 743105555 (NY, Fidelis), 000508489002 (NY, Blue Cross & Blue Shield), 3493064 (NY, Cigna), 00010182102 (NY, Univera)