Individual
SUSAN VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(315) 071-3866
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(315) 071-3866
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
84822001
NY
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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