Individual
MR. BRIAN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 LOOP DR, SAYVILLE, NY 11782-1513
(631) 806-3783
Mailing address
54 LOOP DR, SAYVILLE, NY 11782-1513
(631) 806-3783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1802172241
NY
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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