Individual
MRS. PINKY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
120 BETHPAGE ROAD, SUITE 310, HICKSVILLE, NY 11801
(516) 822-6655
Mailing address
681 SHERMAN CT, WESTBURY, NY 11590-5417
(516) 414-7160
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201246306
TAX ID
NY
Enumeration date
02/08/2011
Last updated
12/10/2014
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