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Individual

SONIA VARUGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
23 S HOWELL AVE STE D, CENTEREACH, NY 11720-4445
(631) 444-2274
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
020454
NY
363AS0400X
Surgical Physician Assistant
5601007224
MI

Other

Enumeration date
11/07/2014
Last updated
12/09/2020
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