Individual
MRS. JANCY J VARUGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10201 66TH RD, PST, FOREST HILLS, NY 11875
(718) 830-4177
(718) 830-1158
Mailing address
171 KILBURN ROAD SOUTH, GARDEN CITY SOUTH, NY 11530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3026341
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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