Organization
O'CONNOR SPORTS & SPINE CHIROPRACTIC P.L.L.C.
Active
Organization
O'CONNOR SPORTS & SPINE CHIROPRACTIC P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER THOMAS O'CONNOR D.C. (PRESIDENT)
(718) 370-0074
Entity
Organization
Contact information
Practice address
1274 RICHMOND AVE, STATEN ISLAND, NY 10314-7450
(718) 370-0074
(718) 948-1065
Mailing address
1274 RICHMOND AVE, STATEN ISLAND, NY 10314-7450
(718) 370-0074
(718) 948-1065
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X010462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02882039
—
NY
01
—
1048657
CIGNA
NY
01
—
11303
MAGNACARE
NY
01
—
5897528
GHI
NY
01
—
662954
ACN GROUP
NY
01
—
837410
MPN
NY
01
—
884228
HEALTHNET
NY
01
—
C10462-2 B
WORKERS COMPENSATION BOAR
NY
01
—
OCO462
ATLANTIS
NY
01
—
P-12039392
MULTIPLAN
NY
01
—
P3175411
OXFORD
NY
Enumeration date
08/28/2007
Last updated
08/28/2007
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