Individual
BLESSY CHALIKOTTACKAL VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGPCNP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2211
Mailing address
617 ALBERT ST, NEW HYDE PARK, NY 11040-4271
(516) 857-3449
(516) 747-2519
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308279-1
NY
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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