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Individual
NICHOLAS VARALLO
Active
Individual
NICHOLAS VARALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
140206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010182102
UNIVERA
NY
01
—
000508489002
BLUE CROSS & BLUE SHIELD
NY
05
—
00710949
—
NY
01
—
0105391
INDEPENDENT HEALTH
NY
01
—
3493064
CIGNA
NY
01
—
743105555
FIDELIS
NY
Enumeration date
07/27/2006
Last updated
12/23/2009
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