Individual provider · Type 1 NPI

Mariamma C. Oommen

Adult Psychiatric/Mental Health Registered Nurse · Queens Village, NY

NPI number 1376042333 Active

Practice location

79 25 Winchester Blvd
Queens Village, NY 11427

Call (718) 264-4420 Map

Mailing address

7925 Winchester Blvd
Queens Village, NY 11427-2128

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X429210 (NY)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1376042333

Mariamma C. Oommen's National Provider Identifier is 1376042333, issued on Feb 6, 2018. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Queens Village, NY. The record was last updated on Feb 6, 2018.