Individual provider · Type 1 NPI

Siji Varghese

Psychiatric/Mental Health Nurse Practitioner · West Brentwood, NY

NPI number 1730540642 Active

Practice location

998 Crooked Hill Rd
West Brentwood, NY 11717-1019

Mailing address

777 Seaview Ave
Staten Island, NY 10305-3409

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X401969 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1730540642

Siji Varghese's National Provider Identifier is 1730540642, issued on Mar 19, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Brentwood, NY. The record was last updated on Mar 24, 2026.