Individual
DR. OMAR ALI ABDUL-RAHMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-2205
(646) 962-0273
Mailing address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(466) 962-2205
(466) 962-0273
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
17448
MS
207SG0201X
Clinical Genetics (M.D.) Physician
30159
NE
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
321107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30159
MEDICAL LICENSE
NE
Enumeration date
06/04/2006
Last updated
05/18/2023
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