OMAR KLOBOCISTA

STATEN ISLAND, NY
NPI1093040115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  255828)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NJ  25ma08645900)
Enumeration Date2009-10-07
Last Update Date2010-02-18
Business Address
Dr. OMAR KLOBOCISTA M.D.
220 VICTORY BLVD
STATEN ISLAND, NY 10301-2919
Phone number: 856-524-2531
Mailing Address
Dr. OMAR KLOBOCISTA M.D.
220 VICTORY BLVD
STATEN ISLAND, NY 10301-2919
Phone number: 856-524-2531