Individual
MRS. MELISSA MATHEW VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 COMMUNITY DR, 304, MANHASSET, NY 11030
(516) 823-8010
(516) 823-8290
Mailing address
600 COMMUNITY DR, 304, MANHASSET, NY 11030-3802
(516) 823-8010
(516) 823-8290
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305933-1
NY
Other
Enumeration date
08/15/2012
Last updated
09/30/2019
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