| Omni Medical Group Pllc | |
|
6413 Broadway Woodside NY 11377-2336 | |
| (718) 205-6561 | |
| Not Available |
| Full Name | Omni Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6413 Broadway, Woodside, New York |
| Authorized Official Name and Position | Shamim Ahmed (MANAGING PARTNER) |
| Authorized Official Contact | 7182056561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Medical Group Pllc 10 Barrypark Ct Albertson NY 11507-1502 Ph: (718) 205-6561 | Omni Medical Group Pllc 6413 Broadway Woodside NY 11377-2336 Ph: (718) 205-6561 |
| NPI Number | 1497136790 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497136790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 237709 (New York) | Primary |
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