Individual
ROBERT W. O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 KENNEDY DR STE 300, HAUPPAUGE, NY 11788-4017
(934) 223-4500
Mailing address
11 AMY DR, SAYVILLE, NY 11782-3224
(631) 319-6107
(631) 319-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
190926
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
190926
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816751
—
NY
Enumeration date
10/05/2006
Last updated
12/11/2024
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