Individual
MRS. MARY M VARUGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
79 MIDDLEVILLE RD, VAMC,NORTH PORT, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 754-7968
Mailing address
160 CERARRD, E.NORTH PORT, NY 11731
(631) 368-2037
(631) 368-1247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303063
NY
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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