person
Mrs. Marilou Mira Omoyon-perham, NP
Neonatal Nurse Practitioner in Port Jefferson, New York
NPI 1578616785

Marilou Mira Omoyon-perham is a Neonatal Nurse Practitioner based in East Islip, NY and is specialized in Neonatal. Marilou Mira Omoyon-perham practices in Port Jefferson, NY and has the professional credentials of NP. The NPI Number for Marilou Mira Omoyon-perham is 1578616785 and holds a License No. F350156-1 (New York).

The current practice location address for Marilou Mira Omoyon-perham is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6577 and via fax at 631-474-6356.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11730-0272
person
Provider Profile Details
NPI Number
1578616785
Provider Name
Marilou Mira Omoyon-perham
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
200 Belle Terre Rd, Port Jefferson, NY, 11730-0272
Phone Number
631-474-6577
Fax Number
631-474-6356
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
State
Zip
11777-1928
Phone Number
631-474-6577
Fax Number
631-474-6356
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
State
Zip
11777-1928
Phone Number
631-474-6577
Fax Number
631-474-6356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
F350156-1 (New York)
Definition
Definition to come...
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