Individual
MR. OMAR JOKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8720 175TH ST, APT# LB3, JAMAICA, NY 11432-5731
(718) 659-5640
Mailing address
8720 175TH ST, APT# LB3, JAMAICA, NY 11432-5731
(718) 659-5640
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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