Individual
GEORGE W CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 SHERMAN ST, JAMESTOWN, NY 14701
(716) 484-0173
(716) 484-0177
Mailing address
17 SHERMAN ST, SUITE 2000, JAMESTOWN, NY 14701-7080
(716) 484-0173
(716) 484-0177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
139892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010261801
UNIVERA HEALTHCARE
NY
01
—
000508598003
BLUE CROSS BLUE SHIELD
NY
05
—
00686815
—
NY
01
—
1706450
INDEPENDENT HEALTH
NY
Enumeration date
05/06/2006
Last updated
01/13/2012
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