| Doctor Name: | NOEL OMAR MOHAMMED |
| NPI Number: | 1023181948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 100008 |
| Business Practice Address: | 1 Stadium Rd. Stony Brook University Student Health Service Stony Brook, NY - 117903191 |
| Business Phone Number: | 6316326740 |
| Business Fax Number: | |
| Mailing Address: | Po Box 496, SAINT JAMES |
| State: | NY |
| Postal Code: | 117800496 |
| Phone Number: | 6317322639 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 100008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |