Provider Demographics
NPI:1780816918
Name:STEPHEN WARSHAFSKY MD INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:STEPHEN WARSHAFSKY MD INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARSHAFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-260-4729
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:10502-1045
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:10502-1045
Practice Address - Country:US
Practice Address - Phone:914-591-0733
Practice Address - Fax:914-591-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60188090207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty