Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | X10462 | NY |
NPI | 1124154430 |
---|---|
Provider Name | Dr. Christopher Thomas O'connor |
First Address | Staten Island, NY 10314-7450 |
Second Address | Staten Island, NY 10314-7450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 27/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02882039 | (05) | NY |
1048657 | ASHN (01) | NY |
1048657 | CIGNA (01) | NY |
11303 | MAGNACARE (01) | NY |
5897528 | GHI (01) | NY |
662954 | ACN GROUP (01) | NY |
837410 | MPN (01) | NY |
884228 | HEALTHNET (01) | NY |
C10462-2 B | WORKERS COMPENSATION BOAR (01) | NY |
OCO462 | ATLANTIS (01) | NY |
P-12039392 | MULTIPLAN (01) | NY |
P3175411 | OXFORD (01) | NY |
U98451 | (02) | NY |