Individual provider · Type 1 NPI

Cecil Oommen

Medical Physician Assistant · New Hyde Park, NY

NPI number 1376915884 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Call (718) 470-7000 Map

Mailing address

7651 265th St
New Hyde Park, NY 11040-1403

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X019109-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1376915884

Cecil Oommen's National Provider Identifier is 1376915884, issued on Oct 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Oct 22, 2015.