Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 1750081 | NY |
NPI | 1497781645 |
---|---|
Provider Name | William W O'connor |
First Address | Saratoga Springs, NY 12866 |
Second Address | Saratoga Springs, NY 12866 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 14/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1559342 | (05) | NY |
G02781 | (02) |