VALSAN OOMMEN

STONY BROOK, NY
NPI1629254594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: NY  012214)
Enumeration Date2008-01-10
Last Update Date2021-01-13
Business Address
MR. VALSAN OOMMEN RPA-C
100 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-601-4387
Mailing Address
MR. VALSAN OOMMEN RPA-C
26 JORDAN DR
MEDFORD, NY 11763-2051
Phone number: 917-609-8200