Individual
SALY GEEVARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 217-3950
Mailing address
344 BRYN MAWR RD, NEW HYDE PARK, NY 11040-3509
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
478947
NY
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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