Individual
MR. OMAR AWIL FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 885-2261
Mailing address
263 CHANDLER ST APT 2, BUFFALO, NY 14207-2437
(716) 495-7529
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
890865-01
NY
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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