Individual
MS. INDIRA MICHELLE FROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 19 ROOM 060, DEPARTMENT OF SURGERY, STONY BROOK, NY 11794-0001
(631) 444-8210
Mailing address
307 BOW DR, HAUPPAUGE, NY 11788-1721
(631) 979-1190
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010213
NY
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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