person
Mrs. Olivia O'malley, NP
Pediatric Nurse Practitioner in Lake Ronkonkoma, New York
NPI 1669186615

Olivia O'malley is a Pediatric Nurse Practitioner based in Lake Ronkonkoma, NY and is specialized in Pediatrics. Olivia O'malley practices in Lake Ronkonkoma, NY and has the professional credentials of NP. The NPI Number for Olivia O'malley is 1669186615 and holds a License No. F383479-01 (New York).

The current practice location address for Olivia O'malley is 6 Glen Dr, Lake Ronkonkoma, NY and can be reached out via phone at 631-774-9793.

Location: 6 Glen Dr, Lake Ronkonkoma, NY, 11779-1506
person
Provider Profile Details
NPI Number
1669186615
Provider Name
Olivia O'malley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6 Glen Dr, Lake Ronkonkoma, NY, 11779-1506
Phone Number
631-774-9793
Fax Number
Provider Enumeration Date
01/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6 Glen Dr
City
State
Zip
11779-1506
Phone Number
631-774-9793
Fax Number
person
Provider Business Mailing Address Details
Address
6 Glen Dr
City
State
Zip
11779-1506
Phone Number
631-774-9793
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F383479-01 (New York)
Definition
Definition to come...
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