Individual
MRS. ILEANE PATRICIA OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
159 WOLF RD STE 105, ALBANY, NY 12205-6008
(518) 437-0152
Mailing address
400 4TH AVE, TROY, NY 12182-3040
(518) 912-9592
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
296125-01
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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