Individual
MEGHAN O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 NICOLLS RD, HSC- L4, RM 050, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
50 PINE ST, BLUE POINT, NY 11715-1118
(631) 697-6956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018121-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04158389
—
NY
Enumeration date
10/15/2014
Last updated
02/24/2023
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