Individual
MRS. NOUR EL SHAM MOHAMED ABDALLA OMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW ROAD SUITE 202, ACHIEVE BEYOND, MEVILLE, NY 11747
(631) 385-7780
Mailing address
538 BROADHOLLOW ROAD SUITE 202, ACHIEVE BEYOND, MEVILLE, NY 11747
(631) 385-7780
(631) 385-7795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/15/2016
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