Individual
CONOR O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6118 190TH ST STE 201, FRESH MEADOWS, NY 11365-2724
(718) 454-0842
Mailing address
21109 42ND AVE APT 2E, BAYSIDE, NY 11361-2808
(845) 702-7499
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
021225
NY
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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