Individual
DR. TERRENCE PATRICK O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-2000
Mailing address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
320332
NY
207P00000X
Emergency Medicine Physician
ME131124
FL
207P00000X
Emergency Medicine Physician
MT203453
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME131124
FLORIDA BOARD OF MEDICINE
FL
01
—
MT203453
PENNSYLVANIA MEDICAL TRAINING LICENSE
PA
Enumeration date
06/17/2013
Last updated
03/30/2023
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