Individual
DR. ELIZABETH OOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MAIN ST, ROOSEVELT ISLAND, NY 10044-0052
(212) 318-4242
Mailing address
900 MAIN ST, ROOSEVELT ISLAND, NY 10044-0066
(212) 848-6456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22561401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22561401
NYS LICENSE
NY
Enumeration date
03/16/2007
Last updated
03/07/2023
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