Individual
OMAR WALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 5TH AVE, BROOKLYN, NY 11215-6688
(718) 550-4006
(212) 404-8069
Mailing address
502 5TH AVE, BROOKLYN, NY 11215-6688
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
321854
NY
Other
Enumeration date
06/07/2018
Last updated
03/25/2025
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