National Provider Identifier

Robert Carl Omalley, ATC

Robert Carl Omalley, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Williamsville, NY and a listed phone number of (716) 634-1085.

NPI 1538135553Williamsville, NYAthletic Trainer

Profile Overview

NPI
1538135553
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 28, 2006
Last Updated
April 20, 2009

Practice Location

  • 43 Dogwood RD
  • Williamsville, NY 14221-4633

Phone: (716) 634-1085

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1538135553
Entity Type
Individual
Last Name
Omalley
First Name
Robert
Middle Name
Carl
Credential
ATC
Mailing Street Address
43 Dogwood RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4633
Mailing Country
US
Mailing Phone
(716) 634-1085
Practice Street Address
43 Dogwood RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4633
Practice Country
US
Practice Phone
(716) 634-1085
Enumeration Date
February 28, 2006
Last Updated
April 20, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)