Individual
MRS. BEENA JOHNSON VARUGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7810
(718) 470-4320
Mailing address
18 EVERGREEN LN, NEW HYDE PARK, NY 11040-1934
(516) 326-2478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336744-1
NY
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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