Individual
SHANNON MAUREEN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270-05 270TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7000
Mailing address
101 MCKINLEY AVE, FRANKLIN SQUARE, NY 11010-3711
(516) 965-4573
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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