Individual provider · Type 1 NPI

Indira Michelle Fromm, RPA-C

Surgical Physician Assistant · Stony Brook, NY

NPI number 1306048285 Active

Practice location

Stony Brook University Medical Ctr, Hsc Level 19 Room 060, Department Of Surgery
Stony Brook, NY 11794-0001

Mailing address

307 Bow Dr
Hauppauge, NY 11788-1721

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X010213 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1306048285

Indira Michelle Fromm, RPA-C's National Provider Identifier is 1306048285, issued on Jun 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 8, 2007.