# OMER CORP.

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

## Provider details

- **NPI number:** 1871839639
- **Authorized official:** MR. USAMA SHAPPAN P.T (CEO)
- **Authorized official phone:** (347) 993-1270

## Contact information

- **Practice address:** 684 83RD ST, \#2, BROOKLYN, NY 11228-2816
- **Practice address phone:** (347) 993-1270
- **Mailing address:** 684 83RD ST, \#2, BROOKLYN, NY 11228-2816
- **Mailing address phone:** (347) 993-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 017152-1 | NY | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012