Individual
JOANNA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEDICAL PLZ STE 302, GLEN COVE, NY 11542-2101
(917) 817-6521
Mailing address
11 LAUREL HILL RD, CENTERPORT, NY 11721-1718
(917) 817-6521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
327109
NY
Other
Enumeration date
03/31/2017
Last updated
12/11/2025
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