IndividualActive
Clins Puthussery Varghese
NPI 1275400889 · Physical Rehabilitation Occupational Therapist · Bayside, NY
Provider details
- NPI number
- 1275400889
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 029972 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21273 26th Ave
Bayside, NY 11360-1943
Phone: (718) 747-2019
Approximate (ZIP-level) locationGet directions
Mailing address
1308 Mcclure Ave
Elmont, NY 11003-3311
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-11-02
- Certified
- 2025-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.