Provider Demographics
NPI:1861811838
Name:VARTHIS, JOHN (MHC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:VARTHIS
Suffix:
Gender:M
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WOODBURY CT
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3159
Mailing Address - Country:US
Mailing Address - Phone:516-547-3389
Mailing Address - Fax:
Practice Address - Street 1:345 7TH AVE
Practice Address - Street 2:SUITE 1601, OFFICE L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5006
Practice Address - Country:US
Practice Address - Phone:516-547-3389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP77469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health