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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANITA D O'MALLEY, PA

Active

ANITA D O'MALLEY, PA is a Medical Physician Assistant healthcare provider located in FAYETTEVILLE, New York. NPI 1790819126 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FAYETTEVILLE, NY

Registration Details

NPI Number
1790819126
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2007 (19.236722161059 yrs)
Last Updated
Apr 14, 2015
License
005753 (NY)

Practice Information

Address
4103 MEDICAL CENTER DR
FAYETTEVILLE, NY, 130666600
Browse NY providers · Browse ZIP 13066
Phone
3156377800
Fax
3156377808
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FAYETTEVILLE, NY

Name Credential NPI
MARY T LYNCH RPA 1659331080
KEITH S MURRAY RPA 1477514263
DAWN M SCOTT RPA 1629030978
STEPHEN J JACKOWSKI RPA 1215990536
SHERYL L KHAN RPA 1215009352
GLENN GILBERG PA 1770603755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.