Individual
NIALL J O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4411
Mailing address
103 E PARK AVE, PEARL RIVER, NY 10965-2527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708935
NY
363L00000X
Nurse Practitioner
Primary
352510
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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