Individual
OMAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 PARK AVE, NEW YORK, NY 10028-0912
(212) 987-1000
Mailing address
1035 PARK AVE, NEW YORK, NY 10028-0912
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
240578-1
NY
2084N0400X
Neurology Physician
Primary
240578
NY
Other
Enumeration date
04/03/2014
Last updated
09/12/2017
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