O'Malley, Maura

O'Malley, Maura is an individual health care provider with primary practice located at 1050 Clove Road Staten Island Physician Practice, Staten Island NY 10304-5509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. O'Malley, Maura can be contacted via phone (718) 816-6440.

Contact Information

Primary practice address
1050 Clove Road Staten Island Physician Practice Staten Island NY 10304-5509
Phone: (718) 816-6440
Fax: (718) 816-3749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304408-1 New York

Profile Details

NPI number 1851578520
LBN Legal business name O'Malley, Maura
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jul 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851578520 NPPES
New York MEDICAID 02990370

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