Individual
KELLY O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 W SENECA ST STE 12, MANLIUS, NY 13104-2422
(315) 682-0325
Mailing address
144 HARDING ST, SYRACUSE, NY 13208-2405
(315) 440-4432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
053100
NY
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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