Coomaraswamy, Michael A

Coomaraswamy, Michael A is an individual health care provider with primary practice located at 5645 Main St W-Ll300, Flushing NY 11355-5045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Coomaraswamy, Michael A can be contacted via phone (718) 445-0220.

Contact Information

Primary practice address
5645 Main St W-Ll300 Flushing NY 11355-5045
Phone: (718) 445-0220
Fax: (718) 939-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 172925 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 172925 New York

Profile Details

NPI number 1336232735
LBN Legal business name Coomaraswamy, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Feb 5th, 2019 - 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 1336232735 NPPES
New York MEDICAID 02992390

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