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1578860383
ANU VARUGHESE THOMAS
STONY BROOK, NY
NPI
1578860383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY 310370)
Enumeration Date
2011-02-15
Last Update Date
2022-03-23
Business Address
Mr. ANU VARUGHESE THOMAS NP
101 NICOLLS RD
STONY BROOK, NY 11794-2150
Phone number: 631-444-1066
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Mailing Address
Mr. ANU VARUGHESE THOMAS NP
58 MONTROSE DR
COMMACK, NY 11725-1330
Phone number: 631-561-1998
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