Provider Demographics
NPI:1467346452
Name:WHITE-VARGA, IRENE (MSED)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:WHITE-VARGA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N HOOPES AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2903
Mailing Address - Country:US
Mailing Address - Phone:315-730-2233
Mailing Address - Fax:
Practice Address - Street 1:315 N HOOPES AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2903
Practice Address - Country:US
Practice Address - Phone:315-730-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1425715222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist