Deirdre Connolly
MOHS-Micrographic Surgeon
990 Montauk Hwy # B
Shirley
, New York 11967-2150
Deirdre Connolly
MOHS-Micrographic Surgeon
990 Montauk Hwy # B
Shirley
, New York 11967-2150
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Deirdre Connolly
- 990 Montauk Hwy # B
- Shirley, NY
- Zip : 11967-2150
- Phone :
Second Address
- Deirdre Connolly
- 990 Montauk Hwy # B
- Shirley, NY
- Zip : 11967-2150
- Phone : (631) 848-3926
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FAQs
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Is Deirdre Connolly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 297746 | NY |
National Provider Identifier
| NPI | 1306264049 |
|---|---|
| Provider Name | Deirdre Connolly |
| First Address | Shirley, NY 11967-2150 |
| Second Address | Shirley, NY 11967-2150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2014 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.