INSOO OM

BRONX, NY
NPI1538364989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004057)
Enumeration Date2007-06-17
Last Update Date2007-07-08
Business Address
-- INSOO OM PA
220 E 161ST ST
BRONX, NY 10451-3543
Phone number: 718-537-1100
Mailing Address
-- INSOO OM PA
7 FORSYTHIA LN
JERICHO, NY 11753-2326
Phone number: 347-512-6205
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