Individual
CONNOR O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1038 W. JERICHO TURNPIKE, SMITHTOWN, NY 11787
(631) 368-2583
Mailing address
119 HILARY STREET, WEST SAYVILLE, NY 11796
(631) 560-6786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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