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Individual

REENA VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 GREAT NECK RD, GREAT NECK, NY 11021-3357
(516) 487-4464
Mailing address
170 GREAT NECK RD, GREAT NECK, NY 11021-3357
(516) 487-4464

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F351315
NY

Other

Enumeration date
03/01/2023
Last updated
05/13/2023
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