Individual provider · Type 1 NPI

Sybil Ann Oommen

Adult Health Nurse Practitioner · Stony Brook, NY

NPI number 1467186858 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-2051

Mailing address

26 Jordan Dr
Medford, NY 11763-2051

Other practice locations

  • 26 Jordan Dr, Medford, NY 11763-2051 · (917) 609-8300

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X310772 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1467186858

Sybil Ann Oommen's National Provider Identifier is 1467186858, issued on Jul 12, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 26, 2022.