Sean Raymond O'Connor, PA
Physician Assistant in Elmira, NY. Individual provider (NPI-1).
NPI number1083171201
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1083171201
- Entity type
- Individual (NPI-1)
- Name
- Sean Raymond O'Connor
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2019
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 027705 | NY | Yes |
Practice location
600 Roe AveElmira, NY 14905-1676
Phone 607-737-4508 · Fax 607-735-5738
Mailing address
571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230
Phone 072-712-0506 · Fax 607-873-1244
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All 30 Physician Assistant providers in Elmira · All 1,989 providers in Elmira
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