Individual
JOHN PETER O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
132 1/2 ALBANY STREET, CAZENOVIZ, NY 13035
(315) 655-8171
(315) 655-5923
Mailing address
5112 WEST TAFT ROAD, SUITE L, LIVERPOOL, NY 13088
(315) 452-2500
(315) 452-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243461
NY
207VX0000X
Obstetrics Physician
243461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02889572
—
NY
Enumeration date
05/14/2007
Last updated
01/23/2014
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