Individual
LISA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, INPATIENT MENTAL HEALTH, SYRACUSE, NY 13203-1807
(315) 448-5360
(315) 448-6137
Mailing address
301 PROSPECT AVE, INPATIENT MENTAL HEALTH, SYRACUSE, NY 13203-1807
(315) 448-5360
(315) 448-6137
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
264787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03470606
—
NY
Enumeration date
06/22/2008
Last updated
04/05/2013
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