Individual
CLINS PUTHUSSERY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21273 26TH AVE, BAYSIDE, NY 11360-1943
(718) 747-2019
Mailing address
1308 MCCLURE AVE, ELMONT, NY 11003-3311
(516) 737-6833
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
029972
NY
Other
Enumeration date
10/20/2025
Last updated
11/02/2025
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