Provider Demographics
NPI:1336856319
Name:ELSSY N. OMS MD PA
Entity Type:Organization
Organization Name:ELSSY N. OMS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELSSY
Authorized Official - Middle Name:
Authorized Official - Last Name:OMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-853-9159
Mailing Address - Street 1:400 S AUSTRALIAN AVE STE 422
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5004
Mailing Address - Country:US
Mailing Address - Phone:786-853-9159
Mailing Address - Fax:
Practice Address - Street 1:400 S AUSTRALIAN AVE STE 422
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5004
Practice Address - Country:US
Practice Address - Phone:561-295-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty