Individual
SHINY SONY VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
10 VALENTINE DR, ALBERTSON, NY 11507-2222
(516) 353-1410
Mailing address
10 VALENTINE DR, ALBERTSON, NY 11507-2222
(516) 343-1410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
9228048
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
F382182
NY
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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