Individual
MR. PEGGY A TRAINOR-O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1111 AMSTERDAM AVE, M2 SUITE A, NEW YORK, NY 10025-1716
(212) 523-2798
(212) 523-5344
Mailing address
174 MEADOW ST, GARDEN CITY, NY 11530-6635
(516) 877-2071
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301954
NY
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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