| Doctor Name: | DR. OMAR ISHAQ |
| NPI Number: | 1528390200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 272711-1 |
| Business Practice Address: | 160 E 34th St New York, NY - 100164744 |
| Business Phone Number: | 2127315003 |
| Business Fax Number: | 2127315512 |
| Mailing Address: | 160 E 34th St, NEW YORK |
| State: | NY |
| Postal Code: | 100164744 |
| Phone Number: | 2127315003 |
| Fax Number: | 2127315512 |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 272711-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |