Provider Demographics
NPI:1154355303
Name:VARKEY, SHERIN (MD)
Entity type:Individual
Prefix:
First Name:SHERIN
Middle Name:
Last Name:VARKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 BROOKFORD RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1704
Mailing Address - Country:US
Mailing Address - Phone:845-701-9419
Mailing Address - Fax:
Practice Address - Street 1:102 JEFFERSON HTS
Practice Address - Street 2:SUITE A 102
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1248
Practice Address - Country:US
Practice Address - Phone:518-626-5240
Practice Address - Fax:518-943-7289
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240852261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02782396Medicaid