Individual
BROOKE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
19 VALERIE CT, SAYVILLE, NY 11782-2035
(203) 535-2076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024275
NY
Other
Enumeration date
05/05/2019
Last updated
10/09/2022
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