Individual
DR. OMAR WAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 N VILLAGE AVE STE 211, ROCKVILLE CENTRE, NY 11570
(516) 900-7922
(718) 425-8911
Mailing address
PO BOX 621, WOODMERE, NY 11598-0621
(516) 900-7922
(718) 425-8911
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
287144
NY
Other
Enumeration date
07/28/2011
Last updated
02/20/2024
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