Brenna O'malley, RD is a
Dietitian, Registered based in Liberty, New York. Brenna O'malley is licensed to practice in * (Not Available) (license number 86068381) and her current practice location is
333 Chestnut St, Liberty, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 239-7250.
NPI number for Brenna O'malley is 1063060309 and her current mailing address is 333 Chestnut St, Liberty, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063060309.
Healthcare Provider's Profile
| Full Name | Brenna O'malley |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 333 Chestnut St, Liberty, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063060309
- Provider Enumeration Date: 08/29/2019
- Last Update Date: 08/29/2019
Medical Identifiers
Medical identifiers for Brenna O'malley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063060309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86068381 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenna O'malley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenna O'malley, RD
333 Chestnut St,
Liberty, NY 12754-1402
Ph: (845) 239-7250 | Brenna O'malley, RD
333 Chestnut St,
Liberty, NY 12754-1402
Ph: (845) 239-7250 |
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