INDIRA MICHELLE FROMM

STONY BROOK, NY
NPI1306048285
Former NameINDIRA MICHELLE FROMM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  010213)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Ms. INDIRA MICHELLE FROMM RPA-C
STONY BROOK UNIVERSITY MEDICAL CTR HSC LEVEL 19 ROOM 060, DEPARTMENT OF SURGERY
STONY BROOK, NY 11794-0001
Phone number: 631-444-8210
Mailing Address
Ms. INDIRA MICHELLE FROMM RPA-C
307 BOW DR
HAUPPAUGE, NY 11788-1721
Phone number: 631-979-1190
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