MARILOU MIRA OMOYON-PERHAM

PORT JEFFERSON, NY
NPI1578616785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: NY  F350156-1)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
Mrs. MARILOU MIRA OMOYON-PERHAM NP
200 BELLE TERRE RD INTENSIVE CARE NURSERY
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6577
Mailing Address
Mrs. MARILOU MIRA OMOYON-PERHAM NP
PO BOX 272 ISLAND NEONATOLOGY PLLC
EAST ISLIP, NY 11730-0272
Phone number: 631-224-1878
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