Provider Demographics
NPI:1063462927
Name:VARRICCHIO, JULIUS ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:ANTHONY
Last Name:VARRICCHIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:46 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5311
Mailing Address - Country:US
Mailing Address - Phone:516-622-6636
Mailing Address - Fax:718-835-9601
Practice Address - Street 1:10515 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1809
Practice Address - Country:US
Practice Address - Phone:718-835-9600
Practice Address - Fax:718-835-9601
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005018111N00000X
NY5808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor