O'Connor, Timothy Michael

O'Connor, Timothy Michael is an individual health care provider with primary practice located at 2928 W 36Th St , Brooklyn NY 11224-1410. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. O'Connor, Timothy Michael can be contacted via phone (718) 372-3300.

Contact Information

Primary practice address
2928 W 36Th St Brooklyn NY 11224-1410
Phone: (718) 372-3300
Fax: (718) 972-1314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401805-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 278191 Massachusetts

Profile Details

NPI number 1770779126
LBN Legal business name O'Connor, Timothy Michael
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated May 10th, 2016 - about 8 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 1770779126 NPPES
New York MEDICAID 04067387

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