Organization
360 PHYSICIAN ASSISTANT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH OCONNOR PA-C (OWNER)
(917) 568-7033
Entity
Organization
Contact information
Practice address
1233 2ND AVENUE, NEW YORK, NY 10065
(212) 606-1000
Mailing address
107 EAST 4TH STREET 1ST FLOOR, BROOKLYN, NY 11218
(917) 568-7033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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