Individual
CECIL OOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
7651 265TH ST, NEW HYDE PARK, NY 11040-1403
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019109-1
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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