Kevin J O'connor, NP | |
267 E Main St Bldg C, Smithtown, NY 11787-2847 | |
(316) 418-8069 | |
(631) 656-0470 |
Full Name | Kevin J O'connor |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 267 E Main St Bldg C, Smithtown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396454435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 530505 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F352584-01 (New York) | Primary |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
Mailing Address | Practice Location Address |
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Kevin J O'connor, NP 267 E Main St Bldg C, Smithtown, NY 11787-2847 Ph: (631) 418-8069 | Kevin J O'connor, NP 267 E Main St Bldg C, Smithtown, NY 11787-2847 Ph: (316) 418-8069 |
Mrs. Anne Marie Mcgrath, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 E Main St Ste 700, Smithtown, NY 11787 Phone: 631-361-4802 Fax: 631-361-5376 | |
Mrs. Rachel Anne Demaio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 994 W Jericho Tpke, Smithtown, NY 11787 Phone: 631-265-4200 | |
Mrs. Melissa Reilly, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 329 E Main St Ste 9, Smithtown, NY 11787 Phone: 631-366-2333 | |
Mr. Donald Peter Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 New York Ave # 25a, Smithtown, NY 11787 Phone: 631-862-3000 | |
Christina Decosta, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 994 W Jericho Tpke Ste 104, Smithtown, NY 11787 Phone: 631-543-1440 | |
Ms. Ellen Marie Mccarty-santoro, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 496 Smithtown Byp, Smithtown, NY 11787 Phone: 631-979-8880 Fax: 631-979-8091 | |
Mrs. Jennifer Cassidy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 Middle Country Rd, Suite 214, Smithtown, NY 11787 Phone: 631-265-5050 Fax: 631-265-3304 |