Individual
DR. JOHN JOSEPH O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
413 KENWOOD AVE, DELMAR, NY 12054-3231
(518) 439-0090
(518) 439-0267
Mailing address
413 KENWOOD AVE, DELMAR, NY 12054-3231
(518) 439-0090
(518) 439-0267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5421-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01938247
—
NY
01
—
1328112
VALUE OPTIONS
NY
Enumeration date
12/25/2006
Last updated
07/08/2007
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