Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 275704 | NY |
NPI | 1992042527 |
---|---|
Provider Name | Dr. Natasha O'malley |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2013 |
Last Update Date | 30/10/2014 |