1609047497 NPI number — DR. BETSY VARGHESE MD

Table of content: DR. BETSY VARGHESE MD (NPI 1609047497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609047497 NPI number — DR. BETSY VARGHESE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VARGHESE
Provider First Name:
BETSY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609047497
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6200 BEACH CHANNEL DRIVE
Provider Second Line Business Mailing Address:
JOSEPH P. ADDABBO
Provider Business Mailing Address City Name:
ARVERNE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11692
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-945-7150
Provider Business Mailing Address Fax Number:
718-945-2596

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105-34 ROCKAWAY BLVD
Provider Second Line Business Practice Location Address:
JOSEPH P. ADDABBO
Provider Business Practice Location Address City Name:
OZONE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-945-7150
Provider Business Practice Location Address Fax Number:
718-945-2596
Provider Enumeration Date:
03/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207QG0300X , with the licence number:  262647 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)