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NPI Code Detail

MEDICARE: SARA A VARGHESE OTR/L

MEDICARE:   SARA A VARGHESE  OTR/L
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
1225X00000XOccupational Therapist027336NY

General Provider Information

NPI Number : 1205553328
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA A VARGHESE OTR/L
Provider Business Mailing Address
First Line : 58 DALEY ST
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-3604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 39 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2107
Country : US
Telephone Number : 516-656-0575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 02/19/2025

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Directions to “ SARA A VARGHESE OTR/L” Practice Location

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