Organization
STATUE TC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR NOOR MD (PRESIDENT)
(212) 949-0393
Entity
Organization
Contact information
Practice address
900 BROADWAY STE 203, NEW YORK, NY 10003-1241
(212) 949-0393
(212) 949-0396
Mailing address
477 MADISON AVE STE 410, NEW YORK, NY 10022-5818
(516) 972-7075
(516) 407-2911
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
03/10/2021
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