Individual provider · Type 1 NPI

Thomas Jason O'Brien, PA

Surgical Physician Assistant · Mineola, NY

NPI number 1659636454 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	015697 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1659636454

Thomas Jason O'Brien, PA's National Provider Identifier is 1659636454, issued on Jul 8, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mineola, NY. The record was last updated on Jul 8, 2012.