Omar Ibarra Aleman
Student in an Organized Health Care Education/Training Program in Stony Brook, NY. Individual provider (NPI-1).
NPI number1396322012
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1396322012
- Entity type
- Individual (NPI-1)
- Name
- Omar Ibarra Aleman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2021
- Certification date
- May 15, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
101 Nicolls RdNicu
Stony Brook, NY 11794-3322
Phone 631-216-9094
Mailing address
263 Farmington AveFarmington, CT 06030-1921
Phone 860-679-2147 · Fax 860-679-4624
Other practice locations
282 Washington St
Hartford, CT 06106-3322
Hartford, CT 06106-3322
Phone 860-545-9000
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All 848 Student in an Organized Health Care Education/Training Program providers in Stony Brook · All 3,268 providers in Stony Brook
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