Organization
OMER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. USAMA SHAPPAN P.T (CEO)
(347) 993-1270
Entity
Organization
Contact information
Practice address
684 83RD ST, #2, BROOKLYN, NY 11228-2816
(347) 993-1270
Mailing address
684 83RD ST, #2, BROOKLYN, NY 11228-2816
(347) 993-1270
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
017152-1
NY
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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