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Individual

MR. JERRY VARUGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
686416
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
686416
NY

Other

Enumeration date
03/01/2016
Last updated
04/03/2020
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