Oommen, Mariamma C

Oommen, Mariamma C is an individual health care provider with primary practice located at 79 25 Winchester Blvd , Queens Village NY 11427. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Oommen, Mariamma C can be contacted via phone (718) 264-4420.

Contact Information

Primary practice address
79 25 Winchester Blvd Queens Village NY 11427
Phone: (718) 264-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 429210 New York

Profile Details

NPI number 1376042333
LBN Legal business name Oommen, Mariamma C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376042333 NPPES
New York MEDICAID 50150

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