Individual
GISHA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 ROUTE 82, BILLINGS, NY 12510-9800
(845) 223-3966
Mailing address
12 ELROD DR, WEST NYACK, NY 10994-2816
(646) 725-1831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060749
NY
Other
Enumeration date
05/22/2018
Last updated
09/14/2021
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