Individual
SUSAN ANNE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 HOSPITAL RD, MEDICAL CENTER, PATCHOGUE, NY 11772-4870
(631) 687-2953
(610) 617-6280
Mailing address
101 HOSPITAL RD, BROOKHAVEN MEMORIAL HOSPITAL ER, PATCHOGUE, NY 11772-4870
(631) 654-7236
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
228389
NY
Other
Enumeration date
06/17/2006
Last updated
02/20/2013
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