O'Rourke, Michael Grant

O'Rourke, Michael Grant is an individual health care provider with primary practice located at 2125 River Rd Ste 303 , Niskayuna NY 12309-1136. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. O'Rourke, Michael Grant can be contacted via phone (518) 213-6910.

Contact Information

Primary practice address
2125 River Rd Ste 303 Niskayuna NY 12309-1136
Phone: (518) 213-6910
Fax: (518) 213-6915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 019765 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 019765 New York

Profile Details

NPI number 1851742332
LBN Legal business name O'Rourke, Michael Grant
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Nov 17th, 2021 - about 4 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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