# MR. TIMOTHY MICHAEL O'CONNOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770779126
- **Gender:** Man
- **Credential:** C.N.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 278191 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F401805-1 | NY | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 05/10/2016