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Organization
OMNI MEDICAL GROUP PLLC
Active
Organization
OMNI MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIM AHMED MD (MANAGING PARTNER)
(718) 205-6561
Entity
Organization
Contact information
Practice address
6413 BROADWAY, WOODSIDE, NY 11377-2336
(718) 205-6561
Mailing address
10 BARRYPARK CT, ALBERTSON, NY 11507-1502
(718) 205-6561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
237709
NY
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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