Individual
MRS. NICOLE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-4644
(212) 746-8295
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430413
NY
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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