Shaun Patrick O'connell, PHYSICIAN ASSISTANT

NPI #1912530916 in Holbrook, New York

Provider Information

NPI Number: 1912530916
Entity Type: Individual
Name: Shaun Patrick O'connell, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 134 SMITH AVE
City: Holbrook
State: New York
ZIP Code: 11741-1147
Phone: (631) 605-9925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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