Individual
DR. MOHAMMED UMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14 TECHNOLOGY DR, SUITE 12, EAST SETAUKET, NY 11733-3472
(631) 444-7979
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0988
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
260813
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
260813
NY
Other
Enumeration date
05/12/2011
Last updated
09/09/2014
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