Provider Demographics
NPI:1578545489
Name:WARSHAW, TZVI (PA)
Entity Type:Individual
Prefix:MR
First Name:TZVI
Middle Name:
Last Name:WARSHAW
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:6010 BAY PARKWAY
Mailing Address - Street 2:SUITE 804
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204
Mailing Address - Country:US
Mailing Address - Phone:718-851-6767
Mailing Address - Fax:718-851-5807
Practice Address - Street 1:6010 BAY PARKWAY
Practice Address - Street 2:SUITE 804
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:718-851-6767
Practice Address - Fax:718-851-5807
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2015-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0080171363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P52850Medicare UPIN