Individual
ASHA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4000
Mailing address
245 UNION TURNPIKE, 13 A, BELLEROSE, NY 11426
(718) 288-2434
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
596954
NY
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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