Individual
NICOLE CONSTANCE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2426
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2426
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72338
CT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
280251
NY
Other
Enumeration date
04/24/2012
Last updated
06/30/2025
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