Provider Demographics
NPI:1487817870
Name:VARGHESE, SILGI PHILIP (OD)
Entity type:Individual
Prefix:DR
First Name:SILGI
Middle Name:PHILIP
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6266
Mailing Address - Country:US
Mailing Address - Phone:212-724-8855
Mailing Address - Fax:212-724-8081
Practice Address - Street 1:450 ENDO BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-6723
Practice Address - Country:US
Practice Address - Phone:516-832-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007301152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400018439Medicare PIN
NYA400018443Medicare PIN