Active NPIIndividual providerSole proprietor

Mr. Omar Archibald

Case Manager/Care Coordinator in Long Island City, New York

NPI Number1891962304
Practice location
2976 Northern Blvd, Long Island City, NY 11101-2822
Fax
—
Last updated
May 14, 2008

Omar Archibald is a Case Manager/Care Coordinator based in Long Island City, NY. Omar Archibald practices in Long Island City, NY. The NPI Number for Omar Archibald is 1891962304. The current practice location address for Omar Archibald is 2976 Northern Blvd, Long Island City, NY 11101-2822 and can be reached out via phone at 347-510-3637.

Provider Profile Details

NPI Number
1891962304
Provider Name
Omar Archibald
Provider Entity Type
Individual
Gender
Male
Address
2976 Northern Blvd, Long Island City, NY 11101-2822
Phone Number
347-510-3637
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2008
Last Update Date
May 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2976 Northern Blvd
Long Island City, NY 11101-2822
Zip
11101-2822
Phone Number
347-510-3637
Long Island City, NY 11101Get directions →

Provider Business Mailing Address Details

Address
515 W 175TH St Apt 3
New York, NY 10033-8144
City
New York
State
NY
Zip
10033-8144
Phone Number
212-781-1864

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Omar Archibald?

The NPI number of Mr. Omar Archibald is 1891962304. It was assigned on May 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Omar Archibald?

Mr. Omar Archibald is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Mr. Omar Archibald practice?

The practice location is 2976 Northern Blvd, Long Island City, NY 11101-2822. The office can be reached at 347-510-3637 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891962304 directly on the NPPES registry website.

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