Individual
MRS. DIANE MARIE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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