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Organization
HUSSEIN OMAR, PHYSICIAN, P.C.
Active
Organization
HUSSEIN OMAR, PHYSICIAN, P.C.
Active
Other names
PAIN CONTROL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSEIN OMAR PHYSICIAN, P.C. (PRESIDENT)
(845) 292-0078
Entity
Organization
Contact information
Practice address
1885 STATE ROUTE 52, LIBERTY, NY 12754-8309
(845) 292-0078
(845) 292-3244
Mailing address
PO BOX 558, FERNDALE, NY 12734-0558
(845) 292-0078
(845) 292-3244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
154839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01624684
—
NY
01
—
110306800
US DEPT OF LABOR
NY
01
—
5829053
AETNA
NY
Enumeration date
05/05/2006
Last updated
03/10/2015
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