Individual
OMNIA ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
746 RIVERSIDE AVE # LY, LYNDHURST, NJ 07071-3032
(551) 900-4004
Mailing address
746 RIVERSIDE AVE # LY, LYNDHURST, NJ 07071-3032
(551) 900-4004
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/10/2023
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