Provider Demographics
NPI:1982893921
Name:VARELA, CLAUDIO FABIAN (MA)
Entity Type:Individual
Prefix:MR
First Name:CLAUDIO
Middle Name:FABIAN
Last Name:VARELA
Suffix:
Gender:M
Credentials:MA
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Mailing Address - Street 1:804 WHISKEY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-1154
Mailing Address - Country:US
Mailing Address - Phone:631-821-6383
Mailing Address - Fax:631-821-6383
Practice Address - Street 1:1090 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3809
Practice Address - Country:US
Practice Address - Phone:212-543-0777
Practice Address - Fax:212-543-2378
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis