Provider Demographics
NPI:1346427507
Name:O'CONNOR, SHARON (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JEANNE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1702
Mailing Address - Country:US
Mailing Address - Phone:845-565-4400
Mailing Address - Fax:845-565-4822
Practice Address - Street 1:5 JEANNE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1702
Practice Address - Country:US
Practice Address - Phone:845-565-4400
Practice Address - Fax:845-565-4822
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304791363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health