Provider Demographics
NPI:1699745315
Name:ARNUK, OMAR JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:JOHN
Last Name:ARNUK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:506 6TH STREET
Mailing Address - Street 2:NEW YORK METHODIST HOSPITAL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3609
Mailing Address - Country:US
Mailing Address - Phone:718-780-5870
Mailing Address - Fax:718-780-7720
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:DEPT OF RADIOLOGY 2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5870
Practice Address - Fax:718-780-7720
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2018-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA078816002085R0202X
NY211-4692085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02086139Medicaid
NY02086139Medicaid
851611Medicare ID - Type Unspecified