Search › New York › 104100000X
Marissa O'Connor
NPI 1386286896 · on the registry since 2019 · sole proprietor
Practice
- Address
- 770 Grand Blvd Ste 17
Deer Park, NY 11729 - Phone
- (516) 361-3576
- Fax
- (631) 392-4358
- Organisation at this address
- 7 Susan Medical Pc
Behavioral Enhancement & Substance Abuse Medicine Treatment PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 30 Tremont Rd, Lindenhurst, NY
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2019-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York