Organization
MEDICAL SERVICE PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMER AHMED MD (MEDICAL DIRECTOR)
(212) 994-5100
Entity
Organization
Contact information
Practice address
330 W 58TH ST STE 509, NEW YORK, NY 10019-1819
(212) 994-5100
(212) 994-5101
Mailing address
330 W 58TH ST, NEW YORK, NY 10019-1827
(212) 994-5100
(212) 994-5101
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119913
—
NY
Enumeration date
04/04/2007
Last updated
02/21/2024
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