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Individual

DR. JUSTINE SARAH CUMMINS OMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3330
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018024302
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
324947
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2018024302
MO
208M00000X
Hospitalist Physician
2018024302
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200061633
MO
Enumeration date
07/26/2016
Last updated
07/26/2023
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