Individual
DR. JESSIE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1572 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2418
(631) 425-5250
Mailing address
300 LUCILLE AVE, ELMONT, NY 11003-3414
(917) 651-6022
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
231327
NY
207R00000X
Internal Medicine Physician
042047
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010042047CT02
BCBS
CT
Enumeration date
05/11/2006
Last updated
05/17/2025
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