Individual
AKSHAY OOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027331
NY
Other
Enumeration date
10/04/2021
Last updated
11/11/2021
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