Provider Demographics
NPI:1669653184
Name:OOMMEN, ROY GEORGI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:GEORGI
Last Name:OOMMEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 DAYTON LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2859
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-293-8600
Practice Address - Fax:914-293-8606
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2016-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT1563394012208600000X
MA247213208G00000X
NY255950208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery