Individual
MATHEW VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
THREE BARKER AVE, 5TH FLOOR, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Mailing address
THREE BARKER AVE, 5TH FLOOR, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F3405031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410240
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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