# ALI MAHOMED OMAR PHYSICIAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467999201
- **Authorized official:** ALI M OMAR MD (PHYSICIAN)
- **Authorized official phone:** (914) 837-1655

## Contact information

- **Practice address:** 5 RENAISSANCE SQ PH 2E, WHITE PLAINS, NY 10601-3042
- **Practice address phone:** (914) 837-1655
- **Mailing address:** 5 RENAISSANCE SQ PH 2E, WHITE PLAINS, NY 10601-3042
- **Mailing address phone:** (914) 837-1655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 125210 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017