Terence James Omalley
Anesthesiologist
1000 Montauk Hwy Good Samaritan Hospital Medical Center
West Islip
, New York 11795
Terence James Omalley
Anesthesiologist
1000 Montauk Hwy Good Samaritan Hospital Medical Center
West Islip
, New York 11795
(631) 736-1332
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Terence James Omalley
- 3 Boyle Road
- Selden, NY
- Zip : 11784
- Fax : (631) 736-1332
- Phone : (631) 736-4064
Second Address
- Terence James Omalley
- 1000 Montauk Hwy Good Samaritan Hospital Medical Center
- West Islip, NY
- Zip : 11795
- Fax : (631) 376-3289
- Phone : (631) 376-4088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 1604611 | NY |
National Provider Identifier
| NPI | 1003890013 |
|---|---|
| Provider Name | Terence James Omalley |
| First Address | Selden, NY 11784 |
| Second Address | West Islip, NY 11795 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01105504 | (05) | NY |
| A62528 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.