MEDICARE: CINIMOL VARUGHESE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	045967	NY

General Provider Information

NPI Number	:	1154657963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINIMOL VARUGHESE

Provider Business Mailing Address
First Line	:	995 ROUTE 22
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-1526
Country	:	US
Telephone Number	:	845-279-2931
Fax Number	:

Provider Business Practice Location Address
First Line	:	995 ROUTE 22
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-1526
Country	:	US
Telephone Number	:	845-279-2931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2009
Last Update Date	:	10/29/2009

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Directions to “ CINIMOL VARUGHESE ” Practice Location

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