Provider Demographics
NPI:1598846073
Name:WARSHAFSKY, STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:WARSHAFSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 SAW MILL RIVER RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1050
Mailing Address - Country:US
Mailing Address - Phone:914-591-0733
Mailing Address - Fax:914-591-2213
Practice Address - Street 1:1055 SAW MILL RIVER RD
Practice Address - Street 2:SUITE 206
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1050
Practice Address - Country:US
Practice Address - Phone:914-591-0733
Practice Address - Fax:914-591-2213
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60188090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY327702OtherMVP HEALTHCARE INSURANCE
NYWP415OtherOXFORD HEALTHCARE
NY126AQ1OtherEMPIRE BCBS
NY2164178OtherCIGNA HEALTHCARE
NY562346187OtherUNITED HEALTHCARE
NY2593193OtherGHI
NY562346187OtherAETNA
NY3C8953OtherHEALTHNET
NY3C8953OtherHEALTHNET
NY562346187OtherUNITED HEALTHCARE
NY562346187OtherAETNA