Organization · NPI-2

Ali Mahomed Omar Physician, PC

Internal Medicine · White Plains, NY

NPI number1467999201
StatusActive
Last updated in NPPESJan 31, 2017

Details

NPI
1467999201
Entity type
Organization (NPI-2)
Legal business name
Ali Mahomed Omar Physician, PC
Organization subpart
No
Enumeration date
Jan 31, 2017
Last updated
Jan 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125210NYYes

Practice location

5 Renaissance Sq Ph 2e
White Plains, NY 10601-3042

Phone 914-837-1655

Mailing address

5 Renaissance Sq Ph 2e
White Plains, NY 10601-3042

Phone 914-837-1655

Authorized official

Ali M Omar
Physician
9148371655

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