Individual
MICHAEL A COOMARASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172925
NY
2086S0102X
Surgical Critical Care Physician
172925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02992390
—
NY
Enumeration date
09/30/2006
Last updated
02/05/2019
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