Individual provider · Type 1 NPI
Shannon Maureen O'Connell, PA
Medical Physician Assistant · New Hyde Park, NY
NPI number
1124636188
Active
Practice location
270-05 270th Ave
New Hyde Park, NY 11040
Mailing address
101 Mckinley Ave
Franklin Square, NY 11010-3711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1124636188
Shannon Maureen O'Connell, PA's National Provider Identifier is 1124636188, issued on Jul 16, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 16, 2020.