Individual
DR. DAVID X. O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21 CLARK PL, MAHOPAC, NY 10541-4723
(845) 628-7400
(845) 628-7442
Mailing address
21 CLARK PL, MAHOPAC, NY 10541-4723
(845) 628-7400
(845) 628-7442
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P52381
PROVIDER NUMBER
NY
Enumeration date
06/30/2006
Last updated
12/05/2007
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