Individual
DR. HUSSEIN OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN, P.C.
Contact information
Practice address
1885 STATE ROUTE 52, LIBERTY, NY 12754-8309
(845) 292-0078
(845) 292-3244
Mailing address
PO BOX 558, FERNDALE, NY 12734-0558
(845) 292-0078
(845) 292-3244
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
154839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912946088
NPI
—
Enumeration date
06/05/2006
Last updated
02/16/2011
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