Marilou Mira Omoyon-Perham in Port Jefferson - Neonatal
Marilou Mira Omoyon-Perham - NPI 1578616785
Marilou Mira Omoyon-Perham is a Neonatal in Port Jefferson, New York. Marilou Mira Omoyon-Perham practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Marilou Mira Omoyon-Perham is 1578616785. The last update date is 2007-07-08.
Marilou Mira Omoyon-Perham's current location address is 200 Belle Terre Rd, Port Jefferson, New York. You can contact this provider via phone number 6314746577 and fax number 6314746356. The mailing address for Marilou Mira Omoyon-Perham is 200 Belle Terre Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilou Mira Omoyon-Perham |
|---|---|
| Address | 200 Belle Terre Rd, Port Jefferson, New York |
| Phone Number | 6314746577 |
| Fax Number | 6314746356 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1578616785 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Belle Terre Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117771928 |
| Phone Number | 6314746577 |
| Fax Number | 6314746356 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | F350156-1 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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What is the unique identification code assigned to Marilou Mira Omoyon-Perham by the Centers for Medicare & Medicaid Services?
The Marilou Mira Omoyon-Perham has been issued the NPI (National Provider Identifier) 1578616785. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marilou Mira Omoyon-Perham's physical address?
The Marilou Mira Omoyon-Perham is physically located at 200 Belle Terre Rd, in the city of Port Jefferson, NY, with the postal code 117771928.
What is Marilou Mira Omoyon-Perham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marilou Mira Omoyon-Perham is Neonatal, and the taxonomy code that categorizes this field of expertise is 363Ln0000X.
On what date did Marilou Mira Omoyon-Perham receive its 1578616785 assignment from the Centers for Medicare & Medicaid Services?
The Marilou Mira Omoyon-Perham was assigned its 1578616785 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marilou Mira Omoyon-Perham most recently updated or refreshed?
The details pertaining to the Marilou Mira Omoyon-Perham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.