Individual
MR. BILLS VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4282
Mailing address
23 CAROLE AVE, NEW HYDE PARK, NY 11040-1903
(516) 263-3151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014680-1
NY
Other
Enumeration date
09/21/2011
Last updated
02/18/2014
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