Individual
DEVON DRISCOLL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
4 KETAY ST, EAST NORTHPORT, NY 11731-5019
(631) 624-0502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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