Individual
DR. JAISON OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT
Contact information
Practice address
18 AUSTIN AVE, OLD BRIDGE, NJ 08857-1205
(917) 975-3757
(732) 234-6634
Mailing address
435 BRADLEY AVE, STATEN ISLAND, NY 10314-6945
(917) 975-3757
(732) 234-6634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027753
NY
2251G0304X
Geriatric Physical Therapist
027753
NY
Other
Enumeration date
11/22/2007
Last updated
12/10/2024
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