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Search › New York › 390200000X

Omar Jack, DO, PA-C

NPI 1144662909 · on the registry since 2013

Practice

Address
77 Goodell St Ste 550
Buffalo, NY 14203
Phone
(716) 829-6108
Organisation at this address
Eden Health Medical Of De Pa
Eden Health Medical Of Ma Pc
Eden Health Medical Of Va Pc
Eden Health Medical Of Dc Pc
Eden Health Medical Of Nj Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
170

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
363A00000X
363AM0700X
Licence states on file
GA, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York