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Individual

DR. CHRISTOPHER THOMAS O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1274 RICHMOND AVE, STATEN ISLAND, NY 10314-7450
(646) 662-3742
Mailing address
1274 RICHMOND AVE, STATEN ISLAND, NY 10314-7450
(718) 370-0074
(718) 370-0084

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X10462
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02882039
NY
01
1048657
ASHN
NY
01
11303
MAGNACARE
NY
01
5897528
GHI
NY
01
662954
ACN GROUP
NY
01
837410
MPN
NY
01
884228
HEALTHNET
NY
01
C10462-2 B
WORKERS COMPENSATION BOAR
NY
01
OCO462
ATLANTIS
NY
01
P-12039392
MULTIPLAN
NY
01
P3175411
OXFORD
NY
Enumeration date
02/23/2007
Last updated
08/27/2016
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