Omalley Dickinson, Grace M

Omalley Dickinson, Grace M is an individual health care provider with primary practice located at 186 Old Town Rd , Southampton NY 11968-5013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Omalley Dickinson, Grace M can be contacted via phone (631) 283-3533.

Contact Information

Primary practice address
186 Old Town Rd Southampton NY 11968-5013
Fax: (631) 287-0571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 151395 New York

Profile Details

NPI number 1689640575
LBN Legal business name Omalley Dickinson, Grace M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 30th, 2013 - about 11 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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