Individual
DR. LIBY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
285215
NY
208M00000X
Hospitalist Physician
Primary
285215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04502874
—
NY
Enumeration date
04/04/2013
Last updated
05/03/2017
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