Individual provider · Type 1 NPI

Valsan Oommen, RPA-C

Surgical Physician Assistant · Stony Brook, NY

NPI number 1629254594 Active

Practice location

100 Nicolls Rd
Stony Brook, NY 11794-0001

Call (631) 601-4387 Map

Mailing address

26 Jordan Dr
Medford, NY 11763-2051

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X012214 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1629254594

Valsan Oommen, RPA-C's National Provider Identifier is 1629254594, issued on Jan 10, 2008. 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 Jan 13, 2021.