Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 164167 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 164167 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 164167 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 164167 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 164167 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 164167 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 164167 | NY |
NPI | 1114960523 |
---|---|
Provider Name | Daniel O'connor |
First Address | Elmhurst, NY 11373-5149 |
Second Address | Elmhurst, NY 11373-5149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 30/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01707148 | (05) | NY |
F55489 | (02) | NY |