Individual
AMY O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 WALKER ST, MALVERNE, NY 11565-1829
(718) 938-3267
(516) 599-3002
Mailing address
20 WALKER ST, MALVERNE, NY 11565-1829
(718) 938-3267
(516) 599-3002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096955
NY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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