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1629254594
VALSAN OOMMEN
STONY BROOK, NY
NPI
1629254594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 012214)
Enumeration Date
2008-01-10
Last Update Date
2021-01-13
Business Address
Mr. VALSAN OOMMEN RPA-C
100 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-601-4387
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Mailing Address
Mr. VALSAN OOMMEN RPA-C
26 JORDAN DR
MEDFORD, NY 11763-2051
Phone number: 917-609-8200
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