Doctor Name: | OMAR AL-AWWAD |
NPI Number: | 1215240429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1980 Crompond Rd The Westchester Medical Practice Pc Cortlandt Manor, NY - 105674144 |
Business Phone Number: | 9147343600 |
Business Fax Number: | 9147343601 |
Mailing Address: | 50 Dayton Ln Ste 202, The Westchester Medical Practice Pc PEEKSKILL |
State: | NY |
Postal Code: | 105662860 |
Phone Number: | 9147390087 |
Fax Number: | 9147371714 |
NPI Enumeration Date: | 07/16/2010 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |