Individual
DR. JENNIFER JOHN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
PO BOX 29234, NEW YORK, NY 10087-3609
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
324996
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME101876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032475600
—
FL
Enumeration date
11/14/2006
Last updated
01/05/2024
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