National Provider Identifier
Sean Raymond O'Connor, PA
Sean Raymond O'Connor, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 737-4508.
Profile Overview
- NPI
- 1083171201
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 24, 2019
- Last Updated
- March 02, 2023
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1676
Phone: (607) 737-4508
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1083171201
- Entity Type
- Individual
- Last Name
- O'Connor
- First Name
- Sean
- Middle Name
- Raymond
- Credential
- PA
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (072) 712-0506
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 737-4508
- Practice Fax
- (607) 735-5738
- Enumeration Date
- February 24, 2019
- Last Updated
- March 02, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)