Individual
ELIZABETH O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 5TH AVE, NEW YORK, NY 10075-1738
(212) 734-9949
Mailing address
955 5TH AVE, NEW YORK, NY 10075-1738
(212) 734-9949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026812-01
NY
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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