Individual
MICHELLE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2426
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2426
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
F381711
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381711
NY
Other
Enumeration date
12/22/2006
Last updated
03/09/2016
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