Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 145991 | FL |
NPI | 1275927766 |
---|---|
Provider Name | Dr. Robert O'leary |
First Address | Albany, NY 12206-1048 |
Second Address | Albany, NY 12206-1048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 01/12/2021 |