Individual
DR. GRACE M OMALLEY DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
186 OLD TOWN RD, SOUTHAMPTON, NY 11968-5013
(631) 283-3533
(631) 287-0571
Mailing address
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787-2982
(631) 265-8780
(631) 265-8521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
151395
NY
Other
Enumeration date
02/28/2006
Last updated
12/30/2013
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