| Doctor Name: | DR. MOHAMMED UMAR |
| NPI Number: | 1518259225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 260813 |
| Business Practice Address: | 14 Technology Dr Suite 12 East Setauket, NY - 117333472 |
| Business Phone Number: | 6314447979 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1559, STONY BROOK |
| State: | NY |
| Postal Code: | 117900988 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 260813 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |