| Siji Varghese, | |
|
998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | |
| (631) 761-3500 | |
| Not Available |
| Full Name | Siji Varghese |
|---|---|
| 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 |
|---|---|---|---|
| 1730540642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401969 (New York) | Primary |
| Entity Name | The Long Island Home |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578627485 PECOS PAC ID: 3072782432 Enrollment ID: O20110802000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Siji Varghese, 777 Seaview Ave, Staten Island, NY 10305-3409 Ph: Not Available | Siji Varghese, 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 Ph: (631) 761-3500 |
Mrs. Tiffany Marie Salzillo, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 998 Crooked Hill Rd, West Brentwood, NY 11717 Phone: 631-761-3500 |
Marie L. Neptune, NURSE PRACT PSYCH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 998 Crooked Hill Rd, Western Suffolk Center, West Brentwood, NY 11717 Phone: 631-761-2082 Fax: 631-761-2282 |
Rene Belony, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 998 Crooked Hill Rd, West Brentwood, NY 11717 Phone: 631-761-3849 |