Individual
MR. ANU VARUGHESE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2150
(631) 444-1066
Mailing address
58 MONTROSE DR, COMMACK, NY 11725-1330
(631) 561-1998
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
310370
NY
Other
Enumeration date
02/15/2011
Last updated
03/23/2022
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