O'Malley, Olivia

O'Malley, Olivia is an individual health care provider with primary practice located at 6 Glen Dr , Lake Ronkonkoma NY 11779-1506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. O'Malley, Olivia can be contacted via phone (631) 774-9793.

Contact Information

Primary practice address
6 Glen Dr Lake Ronkonkoma NY 11779-1506
Phone: (631) 774-9793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383479-01 New York

Profile Details

NPI number 1669186615
LBN Legal business name O'Malley, Olivia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2023
Last updated Jan 12th, 2023 - about 3 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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