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Mr. Valsan Oommen, RPA-C
Surgical Physician Assistant in Stony Brook, New York
NPI 1629254594

Valsan Oommen is a Surgical Physician Assistant based in Medford, NY and is specialized in Surgical. Valsan Oommen practices in Stony Brook, NY and has the professional credentials of RPA-C. The NPI Number for Valsan Oommen is 1629254594 and holds a License No. 012214 (New York).

The current practice location address for Valsan Oommen is 100 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-601-4387.

Location: 100 Nicolls Rd, Stony Brook, NY, 11763-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629254594
Provider Name
Valsan Oommen
Credential
RPA-C
Provider Entity Type
Individual
Gender
Male
Address
100 Nicolls Rd, Stony Brook, NY, 11763-2051
Phone Number
631-601-4387
Fax Number
Provider Enumeration Date
01/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-601-4387
Fax Number
person
Provider Business Mailing Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-601-4387
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
012214 (New York)
Definition
Definition to come...
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