Individual
DR. MICHAEL ROBERT O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
421 WEST COLUMBIA STREET, COHOES, NY 12047
(518) 237-0904
Mailing address
1 OLD COUNTRY RD, SUITE 271, CARLE PLACE, NY 11514-1801
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014177-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531900
—
NY
Enumeration date
07/12/2006
Last updated
08/06/2007
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