Individual
JAMES THOMAS O'CONNOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18219 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365-2242
(718) 670-1415
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
(718) 670-7651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
201619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02166594
—
NY
Enumeration date
05/23/2006
Last updated
07/08/2007
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