Siji Varghese, | |
998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | |
(631) 761-3500 | |
Not Available |
Full Name | Siji Varghese |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 998 Crooked Hill Rd, West Brentwood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730540642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401969 (New York) | Primary |
Entity Name | The Long Island Home |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
Entity Name | Nys Office Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578627485 PECOS PAC ID: 3072782432 Enrollment ID: O20110802000194 |
Entity Name | Priyadarshan Bajpayi Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629534474 PECOS PAC ID: 6608118179 Enrollment ID: O20190502001387 |
Mailing Address | Practice Location Address |
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Siji Varghese, 400 Sunrise Hwy, Amityville, NY 11701-2508 Ph: () - | Siji Varghese, 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 Ph: (631) 761-3500 |
Mrs. Tiffany Marie Salzillo, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 998 Crooked Hill Rd, West Brentwood, NY 11717 Phone: 631-761-3500 |