Omran, Mona

Omran, Mona is an individual health care provider with primary practice located at 1075 Central Park Ave. Suite 104, Scarsdale NY 10583. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Omran, Mona can be contacted via phone (914) 472-9400.

Contact Information

Primary practice address
1075 Central Park Ave. Suite 104 Scarsdale NY 10583
Fax: (914) 723-1160
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 010131 Connecticut

Profile Details

NPI number 1841424496
LBN Legal business name Omran, Mona
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2009
Last updated Aug 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841424496 NPPES
Connecticut MEDICAID 008014133

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