Individual
DR. GEEVARGHESE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9610 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 459-0400
(718) 286-3863
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02784527
—
NY
Enumeration date
12/19/2006
Last updated
10/08/2011
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