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NPI Profile for Dr JESSIE VARGHESE in HUNTINGTON STATION, NY.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1831149731 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/11/2006 | |
| Last updated | 05/17/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JESSIE VARGHESE
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JESSIE VARGHESE, MD