OHM MA, M.D.

Internal Medicine

Active Individual

NPI: 1164834164

Practice Address

355 BARD AVE
DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
Staten Island, NY 10310

Specialties

Specialty	Code	Primary	License
Student in an Organized Health Care Education/Training Program	390200000X	No	-
Internal Medicine	207R00000X	Yes	289753 (NY)

Frequently Asked Questions

NPI 1164834164 is the National Provider Identifier for OHM MA, M.D., a Internal Medicine provider located in Staten Island, NY. This NPI was enumerated on May 24, 2014.

OHM MA, M.D. practices at 355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, Staten Island, NY 10310.

Quick Facts

NPI: 1164834164
Type: Individual
Enumerated: May 24, 2014
Last Updated: Jan 2, 2018

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