Provider Demographics
NPI:1619160330
Name:O'CONNOR, CHRISTOPHER J (PA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:O'CONNOR
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Gender:M
Credentials:PA
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Mailing Address - Street 1:441 9TH AVE
Mailing Address - Street 2:ACPNY - CREDENTIALING 3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1623
Mailing Address - Country:US
Mailing Address - Phone:646-680-2894
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:1991 MARCUS AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2057
Practice Address - Country:US
Practice Address - Phone:516-354-1600
Practice Address - Fax:516-941-4672
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2016-04-05
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Provider Licenses
StateLicense IDTaxonomies
NY001170363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant