Provider Demographics
NPI:1407126022
Name:O'MARA, JANET (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:O'MARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 6TH AVE
Mailing Address - Street 2:SONDERLING HIGH SCHOOL
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-5006
Mailing Address - Country:US
Mailing Address - Phone:631-434-2481
Mailing Address - Fax:631-434-2418
Practice Address - Street 1:2 6TH AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-6110
Practice Address - Country:US
Practice Address - Phone:631-434-2481
Practice Address - Fax:631-434-2418
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276023-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse