O'Connor, Jennifer E

O'Connor, Jennifer E is an individual health care provider with primary practice located at 74-17 Grand Avenue , Maspeth NY 11378. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. O'Connor, Jennifer E can be contacted via phone (718) 803-3025.

Contact Information

Primary practice address
74-17 Grand Avenue Maspeth NY 11378
Phone: (718) 803-3025
Fax: (718) 803-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 47900 New York

Profile Details

NPI number 1124278338
LBN Legal business name O'Connor, Jennifer E
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Sep 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124278338 NPPES
New York MEDICAID 02160676

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