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1376915884
CECIL OOMMEN
NEW HYDE PARK, NY
NPI
1376915884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 019109-1)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- CECIL OOMMEN
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
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Mailing Address
-- CECIL OOMMEN
7651 265TH ST
NEW HYDE PARK, NY 11040-1403
Phone number:
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