O'Connor, Marissa Loren

O'Connor, Marissa Loren is an sole proprietor health care provider with primary practice located at 18 Damin Cir , Saint James NY 11780-1604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. O'Connor, Marissa Loren can be contacted via phone (631) 617-2558.

Contact Information

Primary practice address
18 Damin Cir Saint James NY 11780-1604
Phone: (631) 617-2558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1588317259
LBN Legal business name O'Connor, Marissa Loren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 3 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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